Individual
DR. MICHELLE KORNBLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
29927 6 MILE RD, LIVONIA, MI 48152-3670
(734) 522-0800
Mailing address
29927 6 MILE RD, LIVONIA, MI 48152-3670
(734) 522-0800
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301106257
MI
Other
Enumeration date
12/29/2010
Last updated
08/30/2017
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