Dale C Blum M.D.

NPI 1053316588 - Emergency Medicine - 207PE0004X

NPI Details
NPI 1053316588
Gender Male
Enumeration Date 06/21/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
1105 6TH ST
TRAVERSE CITY MI, 49684-2349, US
Phone (231) 947-0673
Fax (801) 740-2847
Business Location
1105 6TH ST
TRAVERSE CITY MI, 49684-2349, US
Phone (231) 947-0673
Fax (801) 740-2847
Toxanomy
Taxonomy Code 207PE0004X
License State Michigan
License Number 4301032260
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According to our database, Dale C Blum M.D. NPI is 1053316588, taxonomy code is 207PE0004X and license number is 4301032260, license state is located at Michigan. Dale C Blum M.D. physically located at 1105 6th St, Traverse City MI, 49684-2349. NPI Number Dale C Blum M.D. has the Individual type.

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1053316588 NPI number is provided on an as is basis without warranty of any kind. 1053316588 is maintained by the National Plan & Provider Enumeration System. The contents of Dale C Blum M.D. are for informational purposes only.