Individual
DR. MICHAEL J BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
700 GEIPE RD, SUITE 265, BALTIMORE, MD 21228-4147
(410) 747-7100
(410) 788-7387
Mailing address
9601 PULASKI PARK DR, SUITE 416, BALTIMORE, MD 21220-1409
(410) 933-5678
(410) 933-1823
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
S01786
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1512551
CAQH
MD
01
—
758649
CAREFIRST
MD
Enumeration date
11/25/2005
Last updated
05/28/2015
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