Individual
ZACHARY BLUMKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
41521 W 11 MILE RD, NOVI, MI 48375-1803
(248) 299-0030
Mailing address
1490 E BELTLINE AVE SE, GRAND RAPIDS, MI 49506-4336
(616) 940-0040
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
1295243228
MI
Other
Enumeration date
01/11/2018
Last updated
12/27/2018
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