Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Gloria D Blackmon

Individual provider Prosthetics Case Management · NPI 1619622354

MS. Gloria D Blackmon is a Prosthetics Case Management in Detroit, Michigan. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022
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Practice location Address checks out

11891 Wisconsin St
Detroit, MI 48204-1045
Phone: (248) 508-2611
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Specialties & licences

Prosthetics Case Management (primary) Taxonomy 1744P3200X

Record details

NPI number1619622354
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 21, 2022
Last updated in NPPESFebruary 21, 2022
Certification dateFebruary 17, 2022
Mailing address11891 Wisconsin Street, Detroit, MI 48204-1045

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