Matthew C. Blazek M.D.

NPI 1053317248 - Family Medicine - 207Q00000X

NPI Details
NPI 1053317248
Gender Male
Enumeration Date 06/22/2005
Last Updated 11/15/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
24700 LORAIN RD
STE 302
NORTH OLMSTED OH, 44070-2068, US
Phone (440) 777-4341
Fax
Business Location
24700 LORAIN RD
STE 302
NORTH OLMSTED OH, 44070-2068, US
Phone
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Ohio
License Number 48402
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According to our database, Dr. Matthew C. Blazek M.D. NPI is 1053317248, taxonomy code is 207Q00000X and license number is 48402, license state is located at Ohio. Matthew C. Blazek M.D. physically located at 24700 Lorain Rd, North Olmsted OH, 44070-2068. NPI Number Matthew C. Blazek M.D. has the Individual type.

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1053317248 NPI number is provided on an as is basis without warranty of any kind. 1053317248 is maintained by the National Plan & Provider Enumeration System. The contents of Matthew C. Blazek M.D. are for informational purposes only.