Victor Bloom, M.d., P.c. | |
1007 Three Mile Dr Grosse Pointe Park MI 48230-1412 | |
(313) 882-8640 | |
(313) 882-8641 |
Full Name | Victor Bloom, M.d., P.c. |
---|---|
Speciality | Psychoanalyst |
Location | 1007 Three Mile Dr, Grosse Pointe Park, Michigan |
Authorized Official Name and Position | Victor Bloom (PRESIDENT) |
Authorized Official Contact | 3138828640 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Victor Bloom, M.d., P.c. 1007 Three Mile Dr Grosse Pointe Park MI 48230-1412 Ph: (313) 882-8640 | Victor Bloom, M.d., P.c. 1007 Three Mile Dr Grosse Pointe Park MI 48230-1412 Ph: (313) 882-8640 |
NPI Number | 1295961357 |
---|---|
Provider Enumeration Date | 06/03/2009 |
Last Update Date | 06/03/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295961357 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
102L00000X | Psychoanalyst | 022723 (Michigan) | Primary |
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