Individual provider · Type 1 NPI
Martin Kornblum
Orthopaedic Surgery of the Spine Physician · Warren, MI
Practice location
11885 E 12 Mile Rd, 200B
Warren, MI 48093-3474
Fax (586) 582-7066
Mailing address
43800 Garfield Rd
Clinton Township, MI 48038-1136
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery of the Spine Physician Primary | 207XS0117X | 4301063387 (MI) |
Orthopaedic Surgery of the Spine Physician: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic 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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About NPI 1679562722
Martin Kornblum's National Provider Identifier is 1679562722, issued on Oct 20, 2005. The primary taxonomy on file is Orthopaedic Surgery of the Spine Physician (207XS0117X), and the practice location is in Warren, MI. The record was last updated on Jul 8, 2007.