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Dr. Mitchell Edward Blum, MD
Facial Plastic Surgery Physician in Tracy, California
NPI 1770586448

Mitchell Edward Blum is a Facial Plastic Surgery Physician based in Oakland, CA and is specialized in Facial Plastic Surgery. Mitchell Edward Blum practices in Tracy, CA and has the professional credentials of MD. The NPI Number for Mitchell Edward Blum is 1770586448 and holds a License No. G25010 (California).

The current practice location address for Mitchell Edward Blum is 2160 W. Grantline Rd, Tracy, CA and can be reached out via phone at 209-834-0626 and via fax at 209-834-1814.

Location: 2160 W. Grantline Rd, Tracy, CA, 94611
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770586448
Provider Name
Mitchell Edward Blum
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2160 W. Grantline Rd, Tracy, CA, 94611
Phone Number
209-834-0626
Fax Number
209-834-1814
Provider Enumeration Date
05/24/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G250100 05 CA
institution
Provider Business Practice Location Address Details
Address
2160 W. Grantline Rd
City
Tracy
State
California
Zip
95377
Phone Number
209-834-0626
Fax Number
209-834-1814
person
Provider Business Mailing Address Details
Address
2160 W. Grantline Rd
City
Tracy
State
California
Zip
95377
Phone Number
209-834-0626
Fax Number
209-834-1814
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
-
Taxonomy
207Y00000X
License No.
G25010 (California)
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Facial Plastic Surgery
Taxonomy
207YS0123X
License No.
G25010 (California)
Definition
An otolaryngologist who specializes in facial plastic surgery.
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