Individual
DAVID ADAM BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
4301054122
MI
2085R0202X
Diagnostic Radiology Physician
Primary
4301054122
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300F362420
BCBSM
MI
05
—
4791594
—
MI
Enumeration date
03/16/2006
Last updated
08/09/2022
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