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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619954963 NPPES
Minnesota MEDICAID 274516000

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