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Martin Kornblum
Orthopedic Surgery of the Spine Physician in Warren, Michigan
NPI 1679562722

Martin Kornblum is a Orthopedic Surgery of the Spine Physician based in Clinton Twp, MI and is specialized in Orthopedic Surgery of the Spine. Martin Kornblum practices in Warren, MI. The NPI Number for Martin Kornblum is 1679562722 and holds a License No. 4301063387 (Michigan).

The current practice location address for Martin Kornblum is 11885 E 12 Mile Rd, Warren, MI and can be reached out via phone at 586-582-7070 and via fax at 586-582-7066.

Location: 11885 E 12 Mile Rd, Warren, MI, 48038-1136
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679562722
Provider Name
Martin Kornblum
Credential
Provider Entity Type
Individual
Gender
Male
Address
11885 E 12 Mile Rd, Warren, MI, 48038-1136
Phone Number
586-582-7070
Fax Number
586-582-7066
Provider Enumeration Date
10/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4209319 05 MI
institution
Provider Business Practice Location Address Details
Address
11885 E 12 Mile Rd
City
Warren
State
Michigan
Zip
48093-3474
Phone Number
586-582-7070
Fax Number
586-582-7066
person
Provider Business Mailing Address Details
Address
11885 E 12 Mile Rd
City
Warren
State
Michigan
Zip
48093-3474
Phone Number
586-582-7070
Fax Number
586-582-7066
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Orthopedic Surgery of the Spine
Taxonomy
207XS0117X
License No.
4301063387 (Michigan)
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopedic surgery, orthopedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
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