Individual
DAVID BLUMENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5333 MCAULEY DR RM 4001, ACADEMIC INTERNAL MEDICINE, YPSILANTI, MI 48197-1099
(734) 712-3980
Mailing address
5434 S HYDE PARK BLVD, CHICAGO, IL 60615-6144
(773) 294-1383
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301103129
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/07/2013
Last updated
12/22/2021
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