Individual
MITCHELL L ROSENBLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CHW
Contact information
Practice address
349 104TH LN NE, BLAINE, MN 55434-1516
(612) 964-2448
Mailing address
349 104TH LN NE, BLAINE, MN 55434-1516
(612) 964-2448
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/22/2023
Last updated
11/22/2023
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