MEDICARE: DANIEL S BLUMER D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	34003182	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598707770
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL S BLUMER D.O.

Provider Business Mailing Address
First Line	:	2662 COLUMBUS RD NE
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44705-3705
Country	:	US
Telephone Number	:	330-453-2044
Fax Number	:	330-453-1309

Provider Business Practice Location Address
First Line	:	2662 COLUMBUS RD NE
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44705-3705
Country	:	US
Telephone Number	:	330-453-8168
Fax Number	:	330-453-1309

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2006
Last Update Date	:	03/14/2024

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