Provider Demographics
NPI:1780792838
Name:BLIGHT, CATHY OBERG (MD)
Entity type:Individual
Prefix:DR
First Name:CATHY
Middle Name:OBERG
Last Name:BLIGHT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 33321
Mailing Address - Street 2:DRAWER 129
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48232-5321
Mailing Address - Country:US
Mailing Address - Phone:800-288-8325
Mailing Address - Fax:419-866-5453
Practice Address - Street 1:1 HURLEY PLZ
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48503-5902
Practice Address - Country:US
Practice Address - Phone:810-262-9134
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-28
Last Update Date:2013-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301039534207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1000824OtherMCLAREN HEALTH ADVANTAGE
MI220007714OtherRAILROAD MEDICARE
MI2328OtherCOMMUNITY CHOICE MI
MI1000824OtherMCLAREN HEALTH PLAN
MI1646787Medicaid
MI1000824OtherMCLAREN HEALTH PLAN
MI220007714OtherRAILROAD MEDICARE