Organization
VICTOR BLOOM, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR BLOOM M.D. (PRESIDENT)
(313) 882-8640
Entity
Organization
Contact information
Practice address
1007 THREE MILE DR, GROSSE POINTE PARK, MI 48230-1412
(313) 882-8640
(313) 882-8641
Mailing address
1007 THREE MILE DR, GROSSE POINTE PARK, MI 48230-1412
(313) 882-8640
(313) 882-8641
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
022723
MI
Other
Enumeration date
06/03/2009
Last updated
06/03/2009
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