Individual
KASPER MICHAL KOBLANSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
27 S MARIO CAPECCHI DR, SALT LAKE CITY, UT 84112-5888
(801) 581-2711
Mailing address
1758 E 4620 S, SALT LAKE CITY, UT 84117-5004
(801) 500-2365
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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