Individual
DR. DONALD JOHN BLASKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
190 E BANNOCK ST FL 10, BOISE, ID 83712-6241
(208) 381-5500
Mailing address
PO BOX 640, BOISE, ID 83701-0640
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
A109748
CA
207T00000X
Neurological Surgery Physician
Primary
M-14514
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0A1097480
—
CA
Enumeration date
02/05/2009
Last updated
01/11/2022
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