Provider Demographics
NPI:1538528567
Name:BLANKENSHIP, ANDREW Z (DO)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:Z
Last Name:BLANKENSHIP
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:DREW
Other - Middle Name:
Other - Last Name:BLANKENSHIP
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:7630 KINGS POINTE RD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43617-1500
Mailing Address - Country:US
Mailing Address - Phone:419-517-7500
Mailing Address - Fax:419-517-7501
Practice Address - Street 1:7630 KINGS POINTE RD
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43617-1500
Practice Address - Country:US
Practice Address - Phone:419-517-7500
Practice Address - Fax:419-517-7501
Is Sole Proprietor?:No
Enumeration Date:2016-02-18
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34015542207XS0117X
MI5151014734207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine