Individual
MR. DAN BLASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1933 W COURT ST, JANESVILLE, WI 53548-3417
(608) 755-9805
Mailing address
1933 W COURT ST, JANESVILLE, WI 53548-3417
(608) 755-9805
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12142
WI
Other
Enumeration date
10/20/2011
Last updated
10/20/2011
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