Victor Bloom, M.d., P.c.

NPI #1295961357 in Grosse Pointe Park, Michigan

Provider Information

NPI Number: 1295961357
Entity Type: Organization
Organization Name: Victor Bloom, M.d., P.c.
Primary Specialty: Psychoanalyst
Enumeration Date: Jun 3, 2009
Last Updated: Jun 3, 2009

Practice Location

Address: 1007 THREE MILE DR
City: Grosse Pointe Park
State: Michigan
ZIP Code: 48230-1412
Phone: (313) 882-8640

Authorized Official

Name: DR. VICTOR BLOOM, M.D.
Title: PRESIDENT
Phone: (313) 882-8640

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychoanalyst	102L00000X	Primary

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