Individual
DR. MICHELE LYNNE BLUMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
43097 WOODWARD AVE STE 100, BLOOMFIELD, MI 48302-5042
(248) 836-0040
Mailing address
43097 WOODWARD AVE STE 100, BLOOMFIELD, MI 48302-5042
(248) 836-0040
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036117350
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LICENSE
036117350
IL
Enumeration date
06/19/2007
Last updated
02/06/2025
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