IndividualActive
Martin Kornblum
NPI 1679562722 · Orthopaedic Surgery of the Spine Physician · Warren, MI
Provider details
- NPI number
- 1679562722
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery of the Spine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 4301063387 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
11885 E 12 Mile Rd
200b
Warren, MI 48093-3474
Phone: (586) 582-7070
Fax: (586) 582-7066
Approximate (ZIP-level) locationGet directions
Mailing address
43800 Garfield Rd
Clinton Twp, MI 48038-1136
Registry dates
- Enumerated
- 2005-10-20
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.