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Contact Information

DUSTIN BLOM
1 HURLEY PLZ
FLINT, MI48503-5902
 Phone: 810-262-9200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

163WC0200X
Indicates primary specialty

NPI Profile & details for DUSTIN BLOM · (Male)

NPI # 1114769411
Status Active
Credentials
Entity Individual
Enumeration date 06/10/2024
Last updated 06/10/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 4704370340
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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