Individual
EIKE BLOHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 COLCHESTER AVENUE, UVM MEDICAL CENTER, EMERGENCY DEPARTMENT, BURLINGTON, VT 05401
(802) 847-2434
(802) 847-4802
Mailing address
111 COLCHESTER AVENUE, UVM MEDICAL CENTER, EMERGENCY DEPARTMENT, BURLINGTON, VT 05401
(802) 847-2434
(802) 847-4802
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
042.0013721
VT
207P00000X
Emergency Medicine Physician
261731
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110102259A
—
MA
Enumeration date
04/08/2011
Last updated
06/19/2017
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