Individual
DR. DAVID BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8584 N CANTON CENTER RD, CANTON, MI 48187-1310
(734) 455-4917
Mailing address
8584 N CANTON CENTER RD, CANTON, MI 48187-1310
(734) 455-4917
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
DB032249
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101256
CARE CHOICES
MI
01
—
2363389001
CIGNA
MI
01
—
4072568
AETNA
MI
01
—
64889A
HEALTH ALLIANCE PLAN
MI
01
—
B5020
MCARE
MI
Enumeration date
03/17/2006
Last updated
02/15/2008
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