Kathleen K Blazek MD

NPI 1083672729 - Emergency Medicine - 207PE0004X

NPI Details
NPI 1083672729
Gender Female
Enumeration Date 05/03/2006
Last Updated 09/09/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
100 MICHIGAN ST NE
GRAND RAPIDS MI, 49503-2560, US
Phone (616) 391-1680
Fax
Business Location
2537 MOMENTUM PL
CHICAGO IL, 60689-5325, US
Phone (616) 975-1845
Fax (616) 285-0846
Toxanomy
Taxonomy Code 207PE0004X
License State Michigan
License Number 4301081742
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According to our database, Kathleen K Blazek MD NPI is 1083672729, taxonomy code is 207PE0004X and license number is 4301081742, license state is located at Michigan. Kathleen K Blazek MD physically located at 100 Michigan St Ne, Grand Rapids MI, 49503-2560. NPI Number Kathleen K Blazek MD has the Individual type.

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1083672729 NPI number is provided on an as is basis without warranty of any kind. 1083672729 is maintained by the National Plan & Provider Enumeration System. The contents of Kathleen K Blazek MD are for informational purposes only.