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1881259489
ANDREW JOHN BLAZEK
OMAHA, NE
NPI
1881259489
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: NE 36256)
Additional Taxonomies
208800000X Urology
(Licence: IA MD-52875)
Enumeration Date
2019-05-08
Last Update Date
2024-10-16
Business Address
ANDREW JOHN BLAZEK MD
111 S 90TH ST
OMAHA, NE 68114-3907
Phone number: 402-397-9800
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Mailing Address
ANDREW JOHN BLAZEK MD
111 S 90TH ST
OMAHA, NE 68114-3907
Phone number: 402-397-9800
Copy
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