Roland Alexander Blackwood
Pediatrician Pediatric Infectious Diseases
1500 E Medical Center Dr
Ann Arbor
, Michigan 48109-5000
Roland Alexander Blackwood
Pediatrician Pediatric Infectious Diseases
1500 E Medical Center Dr
Ann Arbor
, Michigan 48109-5000
(734) 647-5299
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About
Features
Specialties
- Pediatrician
- Pediatric Infectious Diseases
Languages spoken
- English
Location
First Address
- Roland Alexander Blackwood
- 3621 S State St
- Ann Arbor, MI
- Zip : 48108-1633
- Phone : (734) 647-5299
Second Address
- Roland Alexander Blackwood
- 1500 E Medical Center Dr
- Ann Arbor, MI
- Zip : 48109-5000
- Phone : (734) 936-4000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | 4301060406 | MI |
| Y | 2080P0208X | Pediatric Infectious Diseases | 4301060406 | MI |
National Provider Identifier
| NPI | 1003822271 |
|---|---|
| Provider Name | Roland Alexander Blackwood |
| First Address | Ann Arbor, MI 48108-1633 |
| Second Address | Ann Arbor, MI 48109-5000 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/07/2006 |
| Last Update Date | 11/11/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2858890 | (05) | MI |
| E75077 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.