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BLOOM PEDIATRICS PC NPI 1043364680


NPI Information

NPI: 1043364680
Provider Name: BLOOM PEDIATRICS PC

Doing Business As: EASTMAN, WOZNIAK, GROEBE PEDIATRICS P.C.

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 23D0362833

Address:
2055 E 14 MILE ROAD
BIRMINGHAM, MI
ZIP 48009
Phone: (248) 645-1740
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BLOOM PEDIATRICS PC is a pediatrics in Birmingham, MI. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. BLOOM PEDIATRICS PC NPI is 1043364680. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Eastman, Wozniak, Groebe Pediatrics P.c..

The provider's business location address is:

2055 E 14 MILE ROAD
BIRMINGHAM, MI
ZIP 48009
Phone: (248) 645-1740
Fax: (248) 645-5304

The provider's authorized official is Katherine Schafer .
The authorized official title is Owner and has the following contact phone number (248) 835-5064.

The CLIA number assigned to this NPI record is 23D0362833 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/22/2007 and was last updated on 2/16/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsJE031896MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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