COREY M BLUM

FORT WAYNE, IN
NPI1558789685
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: IN  02005054A)
Enumeration Date2014-04-05
Last Update Date2022-10-10
Business Address
COREY M BLUM
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845-1701
Phone number: 260-672-6620
Mailing Address
COREY M BLUM
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number: