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Julie C Blossom-hartley, MD
Family Medicine Physician in Grand Rapids, Michigan
NPI 1689194631

Julie C Blossom-hartley is a Family Medicine Physician based in Pawtucket, MI. Julie C Blossom-hartley practices in Grand Rapids, MI and has the professional credentials of MD. The NPI Number for Julie C Blossom-hartley is 1689194631 and holds a License No. LP04116 (Michigan).

The current practice location address for Julie C Blossom-hartley is 300 Lafayette Ave Se Ste 4000, Grand Rapids, MI and can be reached out via phone at 616-685-6922.

Location: 300 Lafayette Ave Se Ste 4000, Grand Rapids, MI, 02860
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689194631
Provider Name
Julie C Blossom-hartley
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
300 Lafayette Ave Se Ste 4000, Grand Rapids, MI, 02860
Phone Number
616-685-6922
Fax Number
Provider Enumeration Date
06/21/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4301509984 01 MI STATE OF MICHIGAN MEDICAL LICENSE
LP04116 01 RI RHODE ISLAND MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
300 Lafayette Ave Se Ste 4000
City
Grand Rapids
State
Michigan
Zip
49503-4692
Phone Number
616-685-6922
Fax Number
person
Provider Business Mailing Address Details
Address
300 Lafayette Ave Se Ste 4000
City
Grand Rapids
State
Michigan
Zip
49503-4692
Phone Number
616-685-6922
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
LP04116 (Rhode Island)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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