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1912940412
STEPHEN C BLOOM
YPSILANTI, MI
NPI
1912940412
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: MI 5101011059)
Enumeration Date
2006-06-13
Last Update Date
2021-06-30
Business Address
Dr. STEPHEN C BLOOM D.O.
5333 MCAULEY DRIVE SUITE 2009
YPSILANTI, MI 48197-1014
Phone number: 734-712-0050
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Mailing Address
Dr. STEPHEN C BLOOM D.O.
5333 MCAULEY DRIVE SUITE 2009
YPSILANTI, MI 48197-1014
Phone number: 734-712-0050
Copy
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