Individual provider · Type 1 NPI

Nicholas Alexander Blumenberg, MD

Student in an Organized Health Care Education/Training Program · Pontiac, MI

NPI number 1376245209 Active

Practice location

50 N Perry St
Pontiac, MI 48342-2217

Call (248) 338-5392 Map

Fax (248) 338-5567

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XTRN36688 (FL)
Student in an Organized Health Care Education/Training Program Primary 390200000X4351053066 (MI)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1376245209

Nicholas Alexander Blumenberg, MD's National Provider Identifier is 1376245209, issued on Mar 22, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pontiac, MI. The record was last updated on Jul 4, 2024.