Individual provider · Type 1 NPI

Jennifer Campbell Blain, PA-C

Medical Physician Assistant · Royal Oak, MI

NPI number 1043339872 Active

Practice location

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712

Call (248) 551-3000 Map

Fax (248) 551-2426

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X5601003892 (MI)

Medical Physician Assistant: Definition to come...

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About NPI 1043339872

Jennifer Campbell Blain, PA-C's National Provider Identifier is 1043339872, issued on Mar 29, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Royal Oak, MI. The record was last updated on Jul 22, 2022.