Blute, Michael L

Blute, Michael L is an individual health care provider with primary practice located at 15 Parkman St Wang 528, Boston MA 02114-3117. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Blute, Michael L can be contacted via phone (617) 726-4530.

Contact Information

Primary practice address
15 Parkman St Wang 528 Boston MA 02114-3117
Phone: (617) 726-4530
Fax: (617) 726-6131
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 27812 Minnesota
Allopathic & Osteopathic Physicians / Urology 208800000X 242751 Massachusetts

Profile Details

NPI number 1437120037
LBN Legal business name Blute, Michael L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated Nov 25th, 2015 - about 11 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 1437120037 NPPES
Minnesota MEDICAID 219720100

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