Individual provider · NPI-1

Dr. Adina M Blum, O.D.

Optometrist · Royal Oak, MI

NPI number1609823996
StatusActive
Last updated in NPPESFeb 15, 2024

Details

NPI
1609823996
Entity type
Individual (NPI-1)
Name
Dr. Adina M Blum
Credential
O.D.
Sex
Female
Sole proprietor
Yes
Enumeration date
May 30, 2006
Certification date
Apr 12, 2022
Last updated
Feb 15, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist4901004882MIYes

Practice location

32987 Woodward Ave
Royal Oak, MI 48073-0958

Phone 248-549-9080

Mailing address

32987 Woodward Ave
Royal Oak, MI 48073-0958

Phone 248-549-9080

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