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NPI Verification

National Provider Identifier: 1689194631

Julie C Blossom-Hartley, MD

Individual Provider

Credentials

Primary Specialty

Family Medicine

Code: 207Q00000X

All Specialties (2)

Family Medicine

Code: 207Q00000X

Family Medicine

Code: 207Q00000X

Primary

Practice Address

300 LAFAYETTE AVE SE STE 4000

GRAND RAPIDS, MI 495034692

Phone: 616-685-6922

NPI Enumeration Date

June 21, 2017

NPI Number

1689194631

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry