| Victor Bloom, M.d., P.c. | |
|
1007 Three Mile Dr Grosse Pointe Park MI 48230-1412 | |
| (313) 882-8640 | |
| (313) 882-8641 |
| Full Name | Victor Bloom, M.d., P.c. |
|---|---|
| Speciality | Psychoanalyst |
| Location | 1007 Three Mile Dr, Grosse Pointe Park, Michigan |
| Authorized Official Name and Position | Victor Bloom (PRESIDENT) |
| Authorized Official Contact | 3138828640 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Victor Bloom, M.d., P.c. 1007 Three Mile Dr Grosse Pointe Park MI 48230-1412 Ph: (313) 882-8640 | Victor Bloom, M.d., P.c. 1007 Three Mile Dr Grosse Pointe Park MI 48230-1412 Ph: (313) 882-8640 |
| NPI Number | 1295961357 |
|---|---|
| Provider Enumeration Date | 06/03/2009 |
| Last Update Date | 06/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295961357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 102L00000X | Psychoanalyst | 022723 (Michigan) | Primary |
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