IndividualActive
Dustin Blom
NPI 1114769411 · Critical Care Medicine Registered Nurse · Flint, MI
Provider details
- NPI number
- 1114769411
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 4704370340 (MI)
Specialties & taxonomies
Nursing Service Providers
Practice location
1 Hurley Plz
Flint, MI 48503-5902
Phone: (810) 262-9200
Approximate (ZIP-level) locationGet directions
Mailing address
5344 Northway Dr
Swartz Creek, MI 48473-8227
Registry dates
- Enumerated
- 2024-06-10
- Last updated
- 2024-06-10
- Certified
- 2024-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.