Organization
ROBERT D BLEZA MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT BLEZA MD (PRESIDENT)
(219) 663-8110
Entity
Organization
Contact information
Practice address
115 E 113TH AVE, CROWN POINT, IN 46307-9706
(219) 663-8110
(219) 663-8115
Mailing address
PO BOX 728, SCHERERVILLE, IN 46375-0728
(219) 663-8110
(219) 663-8115
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/19/2009
Last updated
05/28/2011
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