Individual provider · Type 1 NPI

Martin Kornblum

Orthopaedic Surgery of the Spine Physician · Warren, MI

NPI number 1679562722 Active

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

TaxonomyCodeLicense
Orthopaedic Surgery of the Spine Physician Primary 207XS0117X4301063387 (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.