Stephen C Bloom, D.O. Valid NPI
Individual provider · Physical Medicine & Rehabilitation Physician · Ypsilanti, MI
- NPI
- 1912940412
- Type
- Individual (Type 1)
- Primary specialty
- Physical Medicine & Rehabilitation Physician (Physical Medicine & Rehabilitation)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 208100000X
- License number
- 5101011059 (MI)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-06-13
- Last updated
- 2021-06-30
Practice location
5333 Mcauley Drive, Suite 2009
Ypsilanti, MI 48197-1014
(734) 712-0050