Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jack Anthony Blumberg, MD/MBA

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1184362865

Dr. Jack Anthony Blumberg, MD/MBA is an Anatomic Pathology & Clinical Pathology Physician in Royal Oak, Michigan. Licensed in Michigan. Registered with an NPI since 2022.

Licensed in
MI
In the registry since
2022

Practice location Address checks out

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone: (248) 898-5000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 4351052370 (MI)

Record details

NPI number1184362865
Entity typeIndividual (Type 1)
GenderMale
Credentials MD/MBA
Sole proprietorNo
NPI enumeratedMay 23, 2022
Last updated in NPPESJune 6, 2024
Certification dateJune 6, 2024

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