Individual
DR. ROBERT E. BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22301 FOSTER WINTER DR, 2ND FLOOR, SOUTHFIELD, MI 48075-3707
(248) 552-0620
(248) 552-0286
Mailing address
22301 FOSTER WINTER DR, 2ND FLOOR, SOUTHFIELD, MI 48075-3707
(248) 552-0620
(248) 552-0286
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
RB041036
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104130943
—
MI
Enumeration date
07/05/2006
Last updated
02/18/2011
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