Martin Kornblum

NPI 1679562722 · on the registry since 2005

Practice

Address: 11885 E 12 Mile Rd
200b
Warren, MI 48093
Phone: (586) 582-7070
Fax: (586) 582-7066
Organisation at this address: Virgin Girl Hair
Footspecialist Pc
Oakland Medical Group Pc
Sudhir Lingnurkar Md Plc
With Love Homecare, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 92

Registry record

Primary taxonomy: 207XS0117X
207XS0117X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

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 Michigan