Individual provider · Type 1 NPI

Jennifer Michele Bloom, DPM

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

NPI number 1952157315 Active

Practice location

4201 Saint Antoine St
Detroit, MI 48201-2153

Call (313) 745-7071 Map

Mailing address

15912 E Jefferson Ave
Grosse Pointe Park, MI 48230-1446

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

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 1952157315

Jennifer Michele Bloom, DPM's National Provider Identifier is 1952157315, issued on Apr 26, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Detroit, MI. The record was last updated on Apr 26, 2024.