NPI 1043556301

Jon Blum, MD

Practitioner Dermatology Physician Farmington Hills, MI

Practice location

Address: 32905 W 12 Mile Rd Suite 330, Farmington Hills, MI 48334-3342
Phone: (248) 553-4944
Mailing address: 28727 Lake Park Dr, Farmington Hills, MI 48331-2630

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 4301-029433 (MI)

Other Dermatology providers in Michigan →

Registry record

NPI: 1043556301
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Dec 2012
Record last updated: 5 Nov 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.