Individual
DR. NORMAN BRUCE BLAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
8076 SPRING RUN DR, FAIRHOPE, AL 36532-3854
(251) 232-1083
(866) 291-0167
Mailing address
8076 SPRING RUN DR, FAIRHOPE, AL 36532-3854
(251) 232-1083
(866) 291-0167
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4072
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WEB1BLAU
UNITED CONCORDIA
AL
Enumeration date
09/19/2005
Last updated
08/14/2012
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