Individual
DR. BRUCE ROBERT BLAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25330
MN
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
25330
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0052326
—
MT
05
—
0243838
—
OH
01
—
1008985
PREFERRED ONE
MN
05
—
10387
—
ND
01
—
12-24756
MEDICA CHOICE
MN
01
—
12-70281
MEDICA PRIMARY
MN
01
—
132947
UCARE
MN
05
—
1986259
—
LA
05
—
2086719301
—
KS
05
—
30695100
—
WI
05
—
761878600
—
MN
01
—
768027
ARAZ
MN
05
—
7777470
—
SD
01
—
HP21976
HEALTHPARTNERS
MN
Enumeration date
06/23/2006
Last updated
10/24/2012
Update your record
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