Dallas Blackwell, INC.
Integrative Medicine in Ann Arbor, MI. Organization (NPI-2).
NPI number1700570207
StatusActive
Last updated in NPPESJun 7, 2023
Details
- NPI
- 1700570207
- Entity type
- Organization (NPI-2)
- Legal business name
- Dallas Blackwell, INC.
- Organization subpart
- No
- Enumeration date
- Jun 7, 2023
- Certification date
- Jun 6, 2023
- Last updated
- Jun 7, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 202D00000X | Integrative Medicine | – | – | Yes |
Practice location
2725 S Industrial Hwy Ste 300Ann Arbor, MI 48104-6233
Phone 734-845-9122
Mailing address
2725 S Industrial Hwy Ste 300Ann Arbor, MI 48104-6233
Phone 734-845-9122
Authorized official
Cheryl Griffin
Office Manager
7348459122
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