BLAYNE S KOZELKA

LA CROSSE, WI
NPI1871078667
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: WI  4522)
Enumeration Date2018-09-27
Last Update Date2018-10-12
Business Address
BLAYNE S KOZELKA PA-C
1836 SOUTH AVE
LA CROSSE, WI 54601-5429
Phone number: 608-782-7300
Mailing Address
BLAYNE S KOZELKA PA-C
1836 SOUTH AVE
LA CROSSE, WI 54601-5429
Phone number: 608-782-7300
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