David Alan Bloom, MD | |
1500 E Medical Center Dr, 4th Floor Clinic B Room 4807, Ann Arbor, MI 48109-4217 | |
(734) 936-7030 | |
Not Available |
Full Name | David Alan Bloom |
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Gender | Male |
Speciality | Urology |
Location | 1500 E Medical Center Dr, Ann Arbor, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609967132 | NPI | - | NPPES |
1594500 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 4301047893 (Michigan) | Secondary |
208800000X | Urology | 4301047893 (Michigan) | Primary |
2088P0231X | Urology - Pediatric Urology | 4301047893 (Michigan) | Secondary |
Entity Name | Hamilton Community Health Network Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386624278 PECOS PAC ID: 1254249196 Enrollment ID: O20031203000286 |
Mailing Address | Practice Location Address |
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David Alan Bloom, MD 3621 S State St, 700 Kms Place, Ann Arbor, MI 48108 Ph: (734) 936-2047 | David Alan Bloom, MD 1500 E Medical Center Dr, 4th Floor Clinic B Room 4807, Ann Arbor, MI 48109-4217 Ph: (734) 936-7030 |
Dr. Vesna Ivancic, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1500 E Medical Center Dr, 4th Floor Clinic B Room 4807, Ann Arbor, MI 48109 Phone: 734-936-7030 | |
Kristin Lynn Chrouser, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1500 East Medical Center Dr, 2nd Floor Taubman Center Recp C, Ann Arbor, MI 48109 Phone: 734-936-7030 | |
Miriam Hadj-moussa, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000 | |
Mahir Maruf, MD Urology Medicare: Medicare Enrolled Practice Location: 1500 E Medical Center Drive, Taubman Center, 2nd Floor, Reception C, Ann Arbor, MI 48109 Phone: 734-936-7030 Fax: 734-936-9127 | |
Bahaa Sami Malaeb, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000 | |
Linda L Mcintire, MD Urology Medicare: Medicare Enrolled Practice Location: 4540 Boulder Pond Dr, Ann Arbor, MI 48108 Phone: 734-222-1644 | |
Dr. Ted Albert Skolarus, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1500 East Medical Center Dr, B1 Floor Cancer & Geriatrics Center Recp C, Ann Arbor, MI 48109 Phone: 734-647-8903 |