Individual
JENNIFER MICHELE BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
4201 SAINT ANTOINE ST, DETROIT, MI 48201-2153
(313) 745-7071
Mailing address
15912 E JEFFERSON AVE, GROSSE POINTE PARK, MI 48230-1446
(305) 799-1500
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MI
Other
Enumeration date
04/26/2024
Last updated
04/26/2024
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