| Doctor Name: | BRICE WILLIAM BLATZ |
| NPI Number: | 1770745309 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD, MS |
| License Number: | LL2132 |
| Business Practice Address: | 221 Michigan St Ne Grand Rapids, MI - 495032543 |
| Business Phone Number: | 6163911405 |
| Business Fax Number: | 6163918611 |
| Mailing Address: | 1664 N. Virginia Street Brigham Bldg/316, Unr Family Medicine Center RENO |
| State: | NV |
| Postal Code: | 89557 |
| Phone Number: | 7757841533 |
| Fax Number: | 7757848075 |
| NPI Enumeration Date: | 06/25/2008 |
| NPI Last Update Date: | 08/31/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | LL2132 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NV |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |