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NPI Code Detail

MEDICARE: JOSEPH MICHAEL BLUMER D.O.

MEDICARE: JOSEPH MICHAEL 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
1207P00000XEmergency Medicine Physician4528WV

General Provider Information

NPI Number : 1639815889
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH MICHAEL BLUMER D.O.
Provider Business Mailing Address
First Line : 400 ASSOCIATION DR STE 102
Second Line :
City : CHARLESTON
State : WV
Zip : 25311-1298
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3200 MACCORKLE AVE SE
Second Line :
City : CHARLESTON
State : WV
Zip : 25304-1227
Country : US
Telephone Number : 304-388-4172
Fax Number : 304-388-4155
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2022
Last Update Date : 04/15/2026

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