Individual
RONALD I BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17 FOUNDERS STREET, PATTEN, ME 04765
(207) 528-2067
(207) 528-2257
Mailing address
PO BOX 385, PATTEN, ME 04765-0385
(207) 528-2067
(207) 528-2257
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
008285
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112640000
—
ME
Enumeration date
05/04/2006
Last updated
06/05/2014
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