Individual
JEROME THOMAS BLASCHKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1160 WAYZATA BLVD E, WAYZATA, MN 55391-1963
(952) 473-7505
(952) 473-9880
Mailing address
1160 WAYZATA BLVD E, WAYZATA, MN 55391-1963
(952) 473-7505
(952) 473-9880
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1926
MN
Other
Enumeration date
09/29/2005
Last updated
07/01/2024
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