Individual
JUSTIN BLAZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 262-5420
(608) 262-5624
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
56065
WI
Other
Enumeration date
03/29/2016
Last updated
01/13/2021
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