Individual provider · Type 1 NPI

Michael Christopher Blose, PA-C

Medical Physician Assistant · Du Bois, PA

NPI number 1215418470 Active

Practice location

100 Hospital Ave
Du Bois, PA 15801-1440

Mailing address

211 Highland Ave
Punxsutawney, PA 15767-2415

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XMA059947 (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1215418470

Michael Christopher Blose, PA-C's National Provider Identifier is 1215418470, issued on Aug 27, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Du Bois, PA. The record was last updated on Aug 27, 2018.