MARK A BLAZEK

PORTAGE, MI
NPI1649240292
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy208000000X Pediatrics
(Licence: MI  MB041426)
Enumeration Date2006-01-25
Last Update Date2007-07-08
Business Address
MARK A BLAZEK M.D.
670 MALL DR
PORTAGE, MI 49024-2878
Phone number: 269-327-1900
Mailing Address
MARK A BLAZEK M.D.
670 MALL DR
PORTAGE, MI 49024-2878
Phone number: 269-327-1900
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