Individual
DR. WILLIAM BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2855 COOLIDGE HIGHWAY, SUITE 101, TROY, MI 48084
(248) 649-9202
(248) 649-8922
Mailing address
2855 COOLIDGE HIGHWAY, SUITE 101, TROY, MI 48084
(248) 649-9202
(248) 649-8922
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301006833
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
620F34877
BCBS
MI
Enumeration date
08/14/2006
Last updated
07/08/2007
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