Individual
DR. DENNIS LYNN BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
22201 W OUTER DRIVE, DEARBORN, MI 48124-4251
(313) 561-2199
(313) 561-9615
Mailing address
22201 W OUTER DRIVE, DEARBORN, MI 48124-4251
(313) 561-2199
(313) 561-9615
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DB006567
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950Q25037
BC/BS
MI
Enumeration date
08/29/2006
Last updated
07/08/2007
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