Individual
STEPHEN MICHAEL BLUM
Active
Individual
STEPHEN MICHAEL BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
036077134
IL
2085R0202X
Diagnostic Radiology Physician
Primary
0036077134
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00598870
—
NY
05
—
036077134
—
IL
05
—
1451169
—
LA
01
—
1861441560
TRICARE NORTH
—
05
—
235428
—
AZ
05
—
2749477
—
OH
05
—
402417601
—
MD
05
—
402417602
—
MD
05
—
808256100
—
ID
05
—
8529588
—
WA
01
—
P00922031
RAILROAD MCR
OR
Enumeration date
05/09/2006
Last updated
03/07/2023
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