Individual
SEAN JOSEPH BLAZIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC, USAT
Contact information
Practice address
12800 N LAKE SHORE DR, MEQUON, WI 53097-2418
(262) 243-2682
Mailing address
12800 N LAKE SHORE DR, MEQUON, WI 53097-2418
(262) 243-2682
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1852-39
WI
Other
Enumeration date
09/01/2021
Last updated
06/08/2022
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