Individual
DR. MICHAEL BLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2925 PALO VERDE AVE, LONG BEACH, CA 90815-1552
(562) 429-2473
Mailing address
2925 PALO VERDE AVE, LONG BEACH, CA 90815-1552
(562) 429-2473
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
039355
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001393553
—
CT
Enumeration date
11/08/2005
Last updated
01/29/2013
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