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1184362865
JACK ANTHONY BLUMBERG
ROYAL OAK, MI
NPI
1184362865
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: MI 4351052370)
Enumeration Date
2022-05-23
Last Update Date
2024-06-06
Business Address
Dr. JACK ANTHONY BLUMBERG MD/MBA
3601 W 13 MILE RD
ROYAL OAK, MI 48073-6712
Phone number: 248-898-5000
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Mailing Address
Dr. JACK ANTHONY BLUMBERG MD/MBA
18303 W 13 MILE RD APT G2
SOUTHFIELD, MI 48076-1114
Phone number: 248-792-1248
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