Jon Blum
Dermatologist
32905 W 12 Mile Rd Suite 330
Farmington Hills
, Michigan 48334-3342
Jon Blum
Dermatologist
32905 W 12 Mile Rd Suite 330
Farmington Hills
, Michigan 48334-3342
(248) 553-4944
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Jon Blum
- 28727 Lake Park Dr
- Farmington Hills, MI
- Zip : 48331-2630
- Phone : (248) 553-4944
Second Address
- Jon Blum
- 32905 W 12 Mile Rd Suite 330
- Farmington Hills, MI
- Zip : 48334-3342
- Phone : (248) 553-4944
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 4301-029433 | MI |
National Provider Identifier
| NPI | 1043556301 |
|---|---|
| Provider Name | Jon Blum |
| First Address | Farmington Hills, MI 48331-2630 |
| Second Address | Farmington Hills, MI 48334-3342 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/12/2012 |
| Last Update Date | 05/11/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A76363 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.