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Michael William Blomquist, DO
Student in an Organized Health Care Education/Training Program in Cheyenne, Wyoming
NPI 1245921576

Michael William Blomquist is a Student in an Organized Health Care Education/Training Program based in Cheyenne, WY. Michael William Blomquist practices in Cheyenne, WY and has the professional credentials of DO. The NPI Number for Michael William Blomquist is 1245921576 and holds a License No. 223-T1 (Wyoming).

The current practice location address for Michael William Blomquist is 820 E 17Th St, Cheyenne, WY and can be reached out via phone at 307-632-2434.

Location: 820 E 17Th St, Cheyenne, WY, 82001-4714
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245921576
Provider Name
Michael William Blomquist
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
820 E 17Th St, Cheyenne, WY, 82001-4714
Phone Number
307-632-2434
Fax Number
Provider Enumeration Date
05/17/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
820 E 17Th St
City
Cheyenne
State
Wyoming
Zip
82001-4714
Phone Number
307-632-2434
Fax Number
person
Provider Business Mailing Address Details
Address
820 E 17Th St
City
Cheyenne
State
Wyoming
Zip
82001-4714
Phone Number
307-632-2434
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
()
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
223-T1 (Wyoming)
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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