ALFONSO A BLUM

EAST CHICAGO, IN
NPI1790810448
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: IN  01062815A)
Enumeration Date2007-02-22
Last Update Date2010-07-13
Business Address
Dr. ALFONSO A BLUM M.
4035 ELM STREET
EAST CHICAGO, IN 46312-3042
Phone number: 219-398-9840
Mailing Address
Dr. ALFONSO A BLUM M.
9660 WICKER AVENUE
ST JOHN, IN 46373-9487
Phone number: 219-226-2203
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