Individual
MICHELE MARJORIE BLOOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
461 SCENIC AVE, PIEDMONT, CA 94611-3420
(415) 476-3705
(415) 476-3511
Mailing address
UNIVERSITY OF CALIFORNIA SAN FRANCISCO, 10 KORET WAY, RM K220, BOX 0730, SAN FRANCISCO, CA 94143-0001
(415) 476-3705
(415) 476-3511
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A72716
CA
Other
Enumeration date
09/17/2006
Last updated
01/13/2010
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