Blumenkehl, Mark L.

Blumenkehl, Mark L. is an individual health care provider with primary practice located at Henry Ford Health System 2799 West Grand Boulevard, Detroit MI 48202-2608. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Blumenkehl, Mark L. can be contacted via phone (313) 916-2600.

Contact Information

Primary practice address
Henry Ford Health System 2799 West Grand Boulevard Detroit MI 48202-2608
Phone: (313) 916-2600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 4301054815 Michigan

Profile Details

NPI number 1154499689
LBN Legal business name Blumenkehl, Mark L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2006
Last updated Aug 9th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154499689 NPPES
Other MB054815 CHAMPUS-CHAMPUS
MEDICAID 257707610 CHAMPUS-CHAMPUS
Other MB054815 CHAMPUS-CHAMPUS
Other 100H264400 CHAMPUS-CHAMPUS

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