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Individual

DR. JOEL H BLUMIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9200 W WISCONSIN AVE, DEPARTMENT OF OTOLARYNGOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-5580
(414) 805-8324
Mailing address
9200 W WISCONSIN AVE, DEPARTMENT OF OTOLARYNGOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-5580
(414) 805-8324

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
48024
WI
207YP0228X
Pediatric Otolaryngology Physician
48024
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
039906262Q
HUMANA
05
1316998768
WI
Enumeration date
05/12/2006
Last updated
02/08/2013
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