Individual
EDWARD CONRAD BLASKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2301 US HIGHWAY 74 W, WADESBORO, NC 28170-7554
(704) 994-4900
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
31247
NC
Other
Enumeration date
02/15/2006
Last updated
07/15/2024
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