Individual
JANICE MARIE BLAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
29000 CENTER RIDGE RD, WESTLAKE, OH 44145-5293
(440) 835-8000
Mailing address
33182 WREN HAVEN CIRCLE, NORTH RIDGEVILLE, OH 44039
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34004444B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0740587
—
OH
01
—
942460636087
CARESOURCE
OH
Enumeration date
06/13/2006
Last updated
07/08/2007
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