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Elizabeth A Blomenberg, PA-C
Physician Assistant in Warren, Michigan
NPI 1427211945

Elizabeth A Blomenberg is a Physician Assistant based in Detroit, MI. Elizabeth A Blomenberg practices in Warren, MI and has the professional credentials of PA-C. The NPI Number for Elizabeth A Blomenberg is 1427211945 and holds a License No. (Michigan).

The current practice location address for Elizabeth A Blomenberg is 11800 E 12 Mile Rd, Warren, MI and can be reached out via phone at 586-576-4904.

Location: 11800 E 12 Mile Rd, Warren, MI, 48202-3450
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427211945
Provider Name
Elizabeth A Blomenberg
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
11800 E 12 Mile Rd, Warren, MI, 48202-3450
Phone Number
586-576-4904
Fax Number
Provider Enumeration Date
07/03/2008
Last Update Date
12/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1417961137 01 MI BCBS - BRONSON
institution
Provider Business Practice Location Address Details
Address
11800 E 12 Mile Rd
City
Warren
State
Michigan
Zip
48093-3472
Phone Number
586-576-4904
Fax Number
person
Provider Business Mailing Address Details
Address
11800 E 12 Mile Rd
City
Warren
State
Michigan
Zip
48093-3472
Phone Number
586-576-4904
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
()
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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.
()
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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