Individual
DUSTIN BLOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 HURLEY PLZ, FLINT, MI 48503-5902
(810) 262-9200
Mailing address
5344 NORTHWAY DR, SWARTZ CREEK, MI 48473-8227
(810) 835-1056
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
4704370340
MI
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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