SearchMinnesota171100000X

Ingrid Bloom, LI. A

NPI 1588920490 · on the registry since 2012 · sole proprietor

Practice

Address
2829 University Ave, Suite 400
Minneapolis, MN 55414
Phone
(612) 874-6409

Registry record

Primary taxonomy
171100000X
171100000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-04-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota