License holder summary

Phillip Myron Bloom is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Phillip Myron Bloom is 12508 Briarwood Terrace, Minnetonka, MN 55343. This doctor license is not current. The license was granted 07/17/1959 and expired on 05/31/2011.

Department of Safety and Professional Services

Board of Medical Practice

Phillip Myron Bloom
Medical - Physician And Surgeon
License number
14894
Date granted
07/17/1959
Date expires
05/31/2011
Class
Medical - Physician And Surgeon
Status
Canceled
Address
12508 Briarwood Terrace, Minnetonka, MN 55343
doctorsminnesota.org
ID 22161805
LAST UPDATED 2024-03-04 01:22:34 UTC

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