Individual
JON BLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
32905 W 12 MILE RD, SUITE 330, FARMINGTON HILLS, MI 48334-3342
(248) 553-4944
Mailing address
28727 LAKE PARK DR, FARMINGTON HILLS, MI 48331-2630
(248) 553-4944
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4301-029433
MI
Other
Enumeration date
12/13/2012
Last updated
11/05/2015
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