Michael Blacksmith, DO Valid NPI
Individual provider · Family Medicine Physician · Hazen, ND
- NPI
- 1750355533
- Type
- Individual (Type 1)
- Primary specialty
- Family Medicine Physician (Family Medicine)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207Q00000X
- License number
- 9158 (ND)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-02-16
- Last updated
- 2013-05-14
Practice location
517 8th Ave Ne
Hazen, ND 58545-4638
(701) 748-2256