Physician Assistant
Mr. BRETT BLICKENSTAFF PA
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1629479035 · enumerated 2014-09-05 · record updated 2022-07-22. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 44201 DEQUINDRE RD, TROY, MI, 48085-1117 (248) 964-8912 Google Maps Apple Maps OpenStreetMap
- Mailing address 26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI, 48033-3849 (947) 522-1865 Fax (947) 522-0307 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · Primary · License 5601007095 MI
In this directory
Locations and evidence
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Practice location
TROY, MI, 480851117
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.