Individual
BRADY N BLAZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA, DNP
Contact information
Practice address
17893 224TH ST, MANCHESTER, IA 52057-8629
(563) 920-0200
Mailing address
17893 224TH ST, MANCHESTER, IA 52057-8629
(563) 920-0200
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
D116604
IA
390200000X
Student in an Organized Health Care Education/Training Program
116604
IA
Other
Enumeration date
02/21/2013
Last updated
07/10/2015
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