Jason R Blazina
Jason R Blazina is a Driver in Milwaukee, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.
- Licensed in
- WI
- In the registry since
- 2007
Practice location Address checks out
1000 N 92nd StMilwaukee, WI 53226-3533
Phone: (414) 479-9400
Fax: (414) 259-1663
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Driver (primary) | Taxonomy 172A00000X · Licence B425-4366-9058-05 (WI) |
|---|
Record details
| NPI number | 1093925562 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 23, 2007 |
| Last updated in NPPES | April 17, 2012 |
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