JULIE C BLOSSOM-HARTLEY MD
Individual Provider (NPI-1)
Active
Family Medicine
Provider Information
- NPI Number
1689194631- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 300 LAFAYETTE AVE SE STE 4000, GRAND RAPIDS, MI, 495034692
- Phone
- (616) 685-6922
Specialties & Taxonomies
Family Medicine
License: RI #LP04116
Family Medicine
Primary License: MI #4301509984