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Organization

BLOOM WELLNESS DIRECT PRIMARY CARE, PLLC

Active
Other names
Blerta Gaqi
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BLERTA LICI GAQI DO (FAMILY MEDICINE)
(248) 509-0055
Entity
Organization

Contact information

Practice address
7112 HIGHLAND RD, WATERFORD, MI 48327-1503
(248) 509-0055
(626) 517-5630
Mailing address
7112 HIGHLAND RD, WATERFORD, MI 48327-1503
(248) 509-0055
(626) 517-5630

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
04/10/2024
Last updated
04/15/2024
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