Individual provider · Type 1 NPI

Michael Warner Blackstone Sr., MD

Student in an Organized Health Care Education/Training Program · Birmingham, AL

NPI number 1073720702 Active

Practice location

619 19th St S
Birmingham, AL 35249-1900

Call (205) 934-5038 Map

Mailing address

2621 Kemp Ct
Birmingham, AL 35226-1982

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1073720702

Michael Warner Blackstone Sr., MD's National Provider Identifier is 1073720702, issued on May 16, 2007. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Birmingham, AL. The record was last updated on May 10, 2011.