Individual
MARTIN H BLUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3990 JOHN R ST, DETROIT, MI 48201-2018
(313) 745-8555
(313) 745-9299
Mailing address
1560 E MAPLE RD, SUITE 400-CREDENTIALING, TROY, MI 48083-1189
(248) 581-5974
(248) 581-5640
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
4301091717
MI
207ZC0006X
Clinical Pathology Physician
Primary
4301091717
MI
Other
Enumeration date
04/24/2008
Last updated
10/22/2015
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