ANDREW JOHN BLAZEK

OMAHA, NE
NPI1881259489
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208800000X Urology
(Licence: NE  36256)
Additional Taxonomies208800000X Urology
(Licence: IA  MD-52875)
Enumeration Date2019-05-08
Last Update Date2024-10-16
Business Address
ANDREW JOHN BLAZEK MD
111 S 90TH ST
OMAHA, NE 68114-3907
Phone number: 402-397-9800
Mailing Address
ANDREW JOHN BLAZEK MD
111 S 90TH ST
OMAHA, NE 68114-3907
Phone number: 402-397-9800