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MARTIN KORNBLUM
NPI 1679562722
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Warren, MI

Active since October 20, 2005
11885 E 12 MILE RD, 200B, WARREN, MI 48093(586) 582-7070(586) 582-7066 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Martin Kornblum NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARTIN KORNBLUM (NPI 1679562722) is an individual orthopaedic surgery of the spine provider in Warren, Michigan, licensed in Michigan (4301063387) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1679562722
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NameMARTIN KORNBLUM
Location Address11885 E 12 MILE RD, 200BWarren, MI 48093-3474
Mailing Address43800 Garfield RdClinton Twp, MI 48038-1136 · (800) 848-0202 · Fax (586) 226-6949
Phone(586) 582-7070
Fax(586) 582-7066
Sole ProprietorNo
Enumeration DateOctober 20, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1679562722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
License✔ Licensed in MI · 4301063387
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
11885 E 12 MILE RD, Warren, MI 48093
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Other Identifiers 3

Medicare UPINH12621
Medicare ID-Type UnspecifiedM9820004
Medicaid4209319MI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARTIN IRVIN SCHOCK MD
Internal Medicine (Hematology & Oncology)
11885 E 12 MILE RD, SUITE 100A
WARREN, MI 48093
Macomb County (586) 576-1615
COMPREHENSIVE COUNSELING CENTER PC
Clinic/Center (Adult Mental Health)
11885 E 12 MILE RD, STE. 201A
WARREN, MI 48093
Macomb County (586) 558-6000
STACEY LEMANSKI MD
Obstetrics & Gynecology
11885 E 12 MILE RD, 200A
WARREN, MI 48093
Macomb County (586) 582-7060
JOANNE LYNN ALONZO D.O.
Internal Medicine
11885 E 12 MILE RD, STE. 300A
WARREN, MI 48093
Macomb County (586) 582-6630
SHEILA UTTAM CHAUDHARY DDS
Dentist
11885 E 12 MILE RD, STE 303B
WARREN, MI 48093
Macomb County (586) 574-9800
ANDREW LAY WILEY D.O.
Internal Medicine
11885 E 12 MILE RD, STE. 300A
WARREN, MI 48093
Macomb County (586) 582-6630
KATHLEEN ANNE QUINN DO
Obstetrics & Gynecology
11885 E 12 MILE RD, SUITE 202A
WARREN, MI 48093
Macomb County (586) 582-7090
SUDHIR V LINGNURKAR MD
Psychiatry & Neurology (Psychiatry)
11885 E 12 MILE RD, SUITE 201A
WARREN, MI 48093
Macomb County (586) 558-6000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Martin Kornblum's NPI number?

The NPI number for Martin Kornblum is 1679562722. It was assigned to this individual provider in the NPPES registry on October 20, 2005.

Where is Martin Kornblum located?

Martin Kornblum practices at 11885 E 12 Mile Rd 200B, Warren, MI 48093. The listed phone number is (586) 582-7070.

What is Martin Kornblum's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

When was this NPI record last updated?

The NPPES record for Martin Kornblum was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.