JOSHUA A BLOOM

KENOSHA, WI
NPI1770530750
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RP1001X Internal Medicine, Pulmonary Disease
(Licence: WI  29321)
Additional Taxonomies207R00000X Internal Medicine
(Licence: WI  29321)
207RC0200X Internal Medicine, Critical Care Medicine
(Licence: WI  29321)
Enumeration Date2006-05-27
Last Update Date2012-11-13
Business Address
-- JOSHUA A BLOOM MD
6308 8TH AVE SUITE 2000
KENOSHA, WI 53143-5031
Phone number: 262-653-5360
Mailing Address
-- JOSHUA A BLOOM MD
6308 8TH AVE SUITE 2000
KENOSHA, WI 53143-5031
Phone number: 262-653-5360