Individual provider · Type 1 NPI

Dustin Blom

Critical Care Medicine Registered Nurse · Flint, MI

NPI number 1114769411 Active

Practice location

1 Hurley Plz
Flint, MI 48503-5902

Mailing address

5344 Northway Dr
Swartz Creek, MI 48473-8227

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Registered Nurse Primary 163WC0200X4704370340 (MI)

Critical Care Medicine Registered Nurse: Definition to come...

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About NPI 1114769411

Dustin Blom's National Provider Identifier is 1114769411, issued on Jun 10, 2024. The primary taxonomy on file is Critical Care Medicine Registered Nurse (163WC0200X), and the practice location is in Flint, MI. The record was last updated on Jun 10, 2024.