Individual
RYAN BLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(414) 321-6111
Mailing address
200 MAEVE CT, BALTIMORE, MD 21208-1422
Taxonomy
Speciality
Code
Description
License number
State
211D00000X
Podiatric Assistant
Primary
—
—
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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