Blaeser, Michelle M
Blaeser, Michelle M is an individual health care provider with primary practice located at 14000 Fairview Dr , Burnsville MN 55337-5713. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Blaeser, Michelle M can be contacted via phone (952) 993-8601.Contact Information
Primary practice address
14000 Fairview Dr
Burnsville MN 55337-5713
Phone: (952) 993-8601
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 37596 | Minnesota |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 37596 | Minnesota |
Profile Details
| NPI number | 1619954963 |
|---|---|
| LBN Legal business name | Blaeser, Michelle M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2005 |
| Last updated | Feb 29th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619954963 | NPPES |
| Minnesota | MEDICAID | 274516000 |
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