David Blum (NPI# 1508835752, PAC ID# 4486707643) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1508835752 |
| PAC ID by PECOS | 4486707643 |
| Professional Enrollment ID | I20090805000614 |
| Full Name | David Blum |
| Organization Legal Name | S L HUSAIN HAMZAVI MD PC |
| Address |
43151 Dalcoma Dr Clinton Twp MI 48038-6306 |
| Phone Number | 5862868720 |
| Gender | M |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1976 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 7012976590 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230156 | ST JOSEPH MERCY HOSPITAL |
| 230046 | UNIVERSITY OF MICHIGAN HEALTH SYSTEM |
| 230020 | BEAUMONT HOSPITAL - DEARBORN |
| Address | Phone | Organization |
|---|---|---|
| 43151 Dalcoma Dr, Clinton Twp, MI 48038-6306 | 5862868720 | S L HUSAIN HAMZAVI MD PC |
| Organization Legal Name | S L HUSAIN HAMZAVI MD PC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly Simons | Physician Assistant | S L Husain Hamzavi Md PC | 8584 N Canton Ctr Rd, Canton, MI 48187-1310 |
| Jennifer L Rivard | Dermatology | S L Husain Hamzavi Md PC | 43151 Dalcoma Dr, Suite 1, Clinton Twp, MI 48038-6306 |
| Jennifer J Marlin | Physician Assistant | S L Husain Hamzavi Md PC | 2950 Keewahdin Rd, Fort Gratiot, MI 48059-3526 |
| Ashley Carriveau | Physician Assistant | S L Husain Hamzavi Md PC | 2950 Keewahdin Rd, Fort Gratiot, MI 48059-3526 |
| Syed H Hamzavi | Dermatology | S L Husain Hamzavi Md PC | 2950 Keewahdin Rd, Fort Gratiot, MI 48059-3526 |
| Cynthia Chow | Dermatology | S L Husain Hamzavi Md PC | 43151 Dalcoma Dr, Suite 1, Clinton Twp, MI 48038-6306 |
| Meredith L Price | Dermatology | S L Husain Hamzavi Md PC | 2950 Keewahdin Rd, Fort Gratiot, MI 48059-3526 |
| Tina M Williams | Physician Assistant | S L Husain Hamzavi Md PC | 2950 Keewahdin Rd, Fort Gratiot, MI 48059-3526 |
| Megan Hribernik | Nurse Practitioner | S L Husain Hamzavi Md PC | 43151 Dalcoma Dr, Suite 1, Clinton Twp, MI 48038-6306 |
| Jessica J Mcleod | Nurse Practitioner | S L Husain Hamzavi Md PC | 2950 Keewahdin Rd, Fort Gratiot, MI 48059-3526 |
| Street Address |
43151 DALCOMA DR |
| City | CLINTON TWP |
| State | MI |
| Zip | 48038-6306 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer L Rivard | Dermatology | S L Husain Hamzavi Md PC | 43151 Dalcoma Dr, Suite 1, Clinton Twp, MI 48038-6306 |
| Cynthia Chow | Dermatology | S L Husain Hamzavi Md PC | 43151 Dalcoma Dr, Suite 1, Clinton Twp, MI 48038-6306 |
| Megan Hribernik | Nurse Practitioner | S L Husain Hamzavi Md PC | 43151 Dalcoma Dr, Suite 1, Clinton Twp, MI 48038-6306 |
| Nada Macaron | Pathology | S L Husain Hamzavi Md PC | 43151 Dalcoma Dr, Suite 1, Clinton Twp, MI 48038-6306 |
| Syed L Husain Hamzavi | Dermatology | S L Husain Hamzavi Md PC | 43151 Dalcoma Dr, Suite 1, Clinton Twp, MI 48038-6306 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam C Schmid | Nurse Practitioner | Advanced Dermatology of Michigan PC | 44003 Partridge Creek Blvd, Clinton Township, MI 48038-0002 |
| Mary G Marji | Nurse Practitioner | Lakeside Urgent Care PC | 44472 Hayes Rd, Clinton Township, MI 48038-1090 |
| Mark Allen Miller | Chiropractic | Family Chiropractor PC. | 44476 Hayes Rd, Clinton Township, MI 48038-1090 |
| Rachel M Klamo | Family Medicine | Lakeside Urgent Care PC | 44472 Hayes Rd, Clinton Township, MI 48038-1090 |
| Jessica Szatkowski | Nurse Practitioner | Lakeside Urgent Care PC | 44472 Hayes Rd, Clinton Township, MI 48038-1090 |
| Suresh Kumar | Internal Medicine | Lakeside Urgent Care PC | 44472 Hayes Rd, Clinton Township, MI 48038-1090 |
| Daymon Peterson | Internal Medicine | Lakeside Urgent Care PC | 44472 Hayes Rd, Clinton Township, MI 48038-1090 |
| Debra A Schmelzer | Physician Assistant | Lakeside Urgent Care PC | 44472 Hayes Rd, Clinton Township, MI 48038-1090 |
| Sarah L Wisniewski | Physician Assistant | Lakeside Urgent Care PC | 44472 Hayes Rd, Clinton Township, MI 48038-1090 |
| Aji Njie | Internal Medicine | Lakeside Urgent Care PC | 44472 Hayes Rd, Clinton Township, MI 48038-1090 |
| Find all physicians in zip 48038 | |||
| City | CLINTON TWP |
| Zip Code | 48038 |
| Specialty | DERMATOLOGY |
| City + Specialty | CLINTON TWP + DERMATOLOGY |
Please comment or provide details below to improve the information on David Blum.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.