Individual
MAXIMO V. BLEZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
825 E LINCOLNWAY, VALPARAISO, IN 46383-5803
(219) 464-4891
(219) 464-1873
Mailing address
825 E LINCOLNWAY, VALPARAISO, IN 46383-5803
(219) 464-4891
(219) 464-1873
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
02002230A
IN
2085R0202X
Diagnostic Radiology Physician
Primary
02002230A
IN
Other
Enumeration date
05/27/2006
Last updated
11/13/2007
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