person
Michael Warner Blackstone SR., MD
Student in an Organized Health Care Education/Training Program in Birmingham, Alabama
NPI 1073720702

Michael Warner Blackstone SR. is a Student in an Organized Health Care Education/Training Program based in Birmingham, AL. Michael Warner Blackstone SR. practices in Birmingham, AL and has the professional credentials of MD. The NPI Number for Michael Warner Blackstone SR. is 1073720702 and holds a License No. (Alabama).

The current practice location address for Michael Warner Blackstone SR. is 619 19Th St S, Birmingham, AL and can be reached out via phone at 205-934-5038. You can also correspond with Michael Warner Blackstone SR. through the mailing address at 2621 KEMP CT, BIRMINGHAM, AL - 35226-1982 (mailing address contact number: ).

Location: 619 19Th St S, Birmingham, AL, 35226-1982
person
Provider Profile Details
NPI Number
1073720702
Provider Name
Michael Warner Blackstone SR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
619 19Th St S, Birmingham, AL, 35226-1982
Phone Number
205-934-5038
Fax Number
Provider Enumeration Date
05/16/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
619 19Th St S
City
State
Zip
35249-1900
Phone Number
205-934-5038
Fax Number
person
Provider Business Mailing Address Details
Address
619 19Th St S
City
State
Zip
35249-1900
Phone Number
205-934-5038
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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