Individual
NATALIE BLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
5101022612
MI
208000000X
Pediatrics Physician
Primary
5101024630
MI
208000000X
Pediatrics Physician
5315077006
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5101024630
STATE OF MICHIGAN
MI
01
—
5315204965
CONTROLLED SUBSTANCE, STATE OF MICHIGAN
MI
Enumeration date
06/21/2016
Last updated
07/25/2022
Update your record
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