Individual provider · NPI-1
Steven Carl Blaha, M.D.
Emergency Medicine · Lakewood, OH
NPI number1124075759
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1124075759
- Entity type
- Individual (NPI-1)
- Name
- Steven Carl Blaha
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 28, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 35070972 | OH | Yes |
Practice location
14519 Detroit AveLakewood, OH 44107-4316
Phone 216-521-4200
Mailing address
33479 Vineyard ParkAvon, OH 44011-2580
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