Jeffrey L Blickenstaff, MD

NPI #1225056955 in Perham, Minnesota

Provider Information

NPI Number: 1225056955
Entity Type: Individual
Name: Jeffrey L Blickenstaff, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jul 18, 2006
Last Updated: Jan 5, 2012

Practice Location

Address: 665 3RD ST SW
City: Perham
State: Minnesota
ZIP Code: 56573-1108
Phone: (218) 346-4040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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