Organization
DANIEL E BLOSSOM, P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL ERWIN BLOSSOM D. C. (PRESIDENT)
(989) 823-7076
Entity
Organization
Contact information
Practice address
811 W HURON AVE, VASSAR, MI 48768-1128
(989) 823-7076
(989) 823-3390
Mailing address
811 W HURON AVE, VASSAR, MI 48768-1128
(989) 823-7076
(989) 823-3390
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DB004810
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01001582
HEALTH PLUS
MI
05
—
2809232
—
MI
01
—
950G95011
BCBS
MI
Enumeration date
07/23/2008
Last updated
07/23/2008
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