institution
Mitchell E. Blum M.d., F.a.c.s., Inc.
Facial Plastic Surgery Physician in Tracy, California
NPI 1356717854

Mitchell E. Blum M.d., F.a.c.s., Inc. is a Facial Plastic Surgery Physician based in Tracy, CA and is specialized in Facial Plastic Surgery. Mitchell E. Blum M.d., F.a.c.s., Inc. practices in Tracy, CA. The NPI Number for Mitchell E. Blum M.d., F.a.c.s., Inc. is 1356717854 and holds a License No. G25010 (California).

The current practice location address for Mitchell E. Blum M.d., F.a.c.s., Inc. is 2160 W Grant Line Rd, Tracy, CA and can be reached out via phone at 209-834-0626 and via fax at 209-834-1814.

Location: 2160 W Grant Line Rd, Tracy, CA, 95377-7330
institution
Provider Profile Details
NPI Number
1356717854
Provider Name
Mitchell E. Blum M.d., F.a.c.s., Inc.
Credential
Provider Entity Type
Organization
Address
2160 W Grant Line Rd, Tracy, CA, 95377-7330
Phone Number
209-834-0626
Fax Number
209-834-1814
Provider Enumeration Date
08/19/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2160 W Grant Line Rd
City
State
Zip
95377-7330
Phone Number
209-834-0626
Fax Number
209-834-1814
person
Provider Business Mailing Address Details
Address
2160 W Grant Line Rd
City
State
Zip
95377-7330
Phone Number
209-834-0626
Fax Number
209-834-1814
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Facial Plastic Surgery
Taxonomy
License No.
G25010 (California)
Definition
An otolaryngologist who specializes in facial plastic surgery.
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