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1356475594
JERRY M BLOOMSTEIN
WAUWATOSA, WI
NPI
1356475594
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: WI 28817)
Enumeration Date
2007-03-16
Last Update Date
2021-11-23
Business Address
JERRY M BLOOMSTEIN MD
1220 DEWEY AVE BLDG 2
WAUWATOSA, WI 53213-2504
Phone number: 414-454-6500
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Mailing Address
JERRY M BLOOMSTEIN MD
1774 N 84TH ST
WAUWATOSA, WI 53226-2817
Phone number: 414-475-7118
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