Individual provider · NPI-1

Martin H Bluth, M.D.

Pathology, Clinical Pathology · Detroit, MI

NPI number1053586701
StatusActive
Last updated in NPPESOct 22, 2015

Details

NPI
1053586701
Entity type
Individual (NPI-1)
Name
Martin H Bluth
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Apr 24, 2008
Last updated
Oct 22, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207ZC0006X Pathology, Clinical Pathology4301091717MIYes
207ZB0001X Pathology, Blood Banking & Transfusion Medicine4301091717MI

Practice location

3990 John R St
Detroit, MI 48201-2018

Phone 313-745-8555 · Fax 313-745-9299

Mailing address

1560 E Maple Rd
Suite 400-Credentialing
Troy, MI 48083-1189

Phone 248-581-5974 · Fax 248-581-5640

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