Individual
DR. MICHAEL S BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
350 PARNASSUS AVE, 3RD FLOOR, SAN FRANCISCO, CA 94143-0001
(415) 353-2873
(415) 353-2528
Mailing address
1635 DIVISADERO ST, STE 625, BOX 1821, SAN FRANCISCO, CA 94143-0001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G87207
CA
207RC0000X
Cardiovascular Disease Physician
Primary
G87207
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G872070
—
CA
Enumeration date
04/20/2006
Last updated
09/04/2008
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