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Individual

DR. JOSEPH M BLONSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1555 NORTHWAY DRIVE, SUITE 200, ST CLOUD, MN 56303-4913
(320) 240-3157
(320) 240-3143
Mailing address
1555 NORTHWAY DRIVE, SUITE 200, ST CLOUD, MN 56303-4913
(320) 240-3157
(320) 240-3143

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37949
MN
207Q00000X
Family Medicine Physician
MN37949
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
212087900
MN
Enumeration date
03/08/2006
Last updated
06/19/2013
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