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Individual
DR. PAUL MITCHELL BLUM
Active
Individual
DR. PAUL MITCHELL BLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
18696
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01668BL
BC/BS
MN
01
—
0204351
MEDICA
MN
01
—
FP9020802001
PREFERRED ONE
MN
Enumeration date
08/21/2006
Last updated
07/08/2007
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