Provider Demographics
NPI:1174961411
Name:BLOMQUIST, THOMAS MORGAN (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:MORGAN
Last Name:BLOMQUIST
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Gender:M
Credentials:MD, PHD
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Mailing Address - Street 1:3355 GLENDALE AVE
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43614-2426
Mailing Address - Country:US
Mailing Address - Phone:419-383-7100
Mailing Address - Fax:419-383-2000
Practice Address - Street 1:3000 ARLINGTON AVE
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43614-2595
Practice Address - Country:US
Practice Address - Phone:419-383-3478
Practice Address - Fax:419-383-6183
Is Sole Proprietor?:No
Enumeration Date:2013-06-10
Last Update Date:2017-02-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35.129969207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology