Individual
DANIEL ANTHONY BLASCYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
915 E 1ST ST, DULUTH, MN 55805-2107
(218) 249-5555
Mailing address
915 E 1ST ST, DULUTH, MN 55805-2107
(218) 249-5555
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125-054708
IL
207R00000X
Internal Medicine Physician
57159-20
WI
208000000X
Pediatrics Physician
125-054708
IL
208000000X
Pediatrics Physician
57159-20
WI
208M00000X
Hospitalist Physician
Primary
69146
MN
Other
Enumeration date
06/13/2008
Last updated
05/25/2021
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