Individual
DR. WILLIAM A. BLUME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4501 N 4TH AVE, EVANSVILLE, IN 47710-3529
(812) 422-7212
(812) 422-7326
Mailing address
4501 N 4TH AVE, EVANSVILLE, IN 47710-3529
(812) 422-7212
(812) 422-7326
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01030705
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100247160A
—
IN
Enumeration date
11/03/2005
Last updated
02/24/2022
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