DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JULIE C BLOSSOM-HARTLEY, MD

Active Sole Proprietor

JULIE C BLOSSOM-HARTLEY, MD is a Family Medicine healthcare provider located in GRAND RAPIDS, Michigan. NPI 1689194631 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · GRAND RAPIDS, MI

Registration Details

NPI Number
1689194631
Provider Type
Individual
Gender
Female
NPI Issued
Jun 21, 2017 (9.1378604568953 yrs)
Last Updated
Oct 26, 2023
Licenses
LP04116 (RI)
4301509984 (MI)
Sole Proprietor
Yes

Practice Information

Address
300 LAFAYETTE AVE SE STE 4000
GRAND RAPIDS, MI, 495034692
Browse MI providers · Browse ZIP 49503
Phone
6166856922
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in GRAND RAPIDS, MI

Name Credential NPI
LEE P. BEGROW DO 1528062155
DAVID FRANCIS LIEUWEN M.D. 1043214414
DR. MATTHEW JAMES BOUTELL MD 1043210818
DR. JAMES THOMAS KERBY MD 1649270935
TAMMY BORN HUIZENGA D.O. 1003816224
WILLIAM H DUKES MD 1154322113
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.