Individual
BRIAN J BLONIGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
036.129649
IL
2085R0001X
Radiation Oncology Physician
57009754
OH
Other
Enumeration date
05/25/2007
Last updated
08/26/2015
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