Individual
DR. VINCENT MICHAEL BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5825 AIRLINE HWY, BATON ROUGE, LA 70805-2408
(225) 358-3940
(225) 354-2015
Mailing address
5825 AIRLINE HWY, BATON ROUGE, LA 70805-2408
(225) 358-3940
(225) 354-2015
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
201892
LA
208D00000X
General Practice Physician
4301091319
MI
Other
Enumeration date
03/20/2008
Last updated
03/20/2008
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