Individual
GREGORY BLASKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3262 CENTER RD, POLAND, OH 44514-2201
(330) 707-1220
(330) 707-1066
Mailing address
PO BOX 378, SANDUSKY, OH 44871-0378
(419) 626-6161
(419) 502-3511
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
330
WV
213E00000X
Podiatrist
Primary
36-00-2905
OH
213E00000X
Podiatrist
SC-00-4402
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2052004
—
OH
Enumeration date
06/30/2005
Last updated
02/21/2019
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