Individual
DR. MINDY L BLASKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3216 NE 45TH PL STE 106, SEATTLE, WA 98105-4028
(206) 526-0210
(206) 526-0221
Mailing address
2023 26TH AVE E, SEATTLE, WA 98112-3043
(206) 850-4232
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
MD00018121
WA
207Q00000X
Family Medicine Physician
Primary
G36982
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689405
—
WA
Enumeration date
10/03/2006
Last updated
02/28/2012
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