Individual
CARL BLASHKO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4050 COON RAPIDS BLVD, MERCY HOSPITAL, COON RAPIDS, MN 55433
(763) 236-7144
(763) 236-7733
Mailing address
7301 OHMS LANE, SUITE 650, EDINA, MN 55439
(952) 835-9880
(952) 857-1554
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
39924
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39924
MEDICAL LICENSE
MN
Enumeration date
03/18/2006
Last updated
07/08/2007
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