Individual
DR. GRANT BLASCZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, PT
Contact information
Practice address
2700 VIKINGS CIR, EAGAN, MN 55121-1002
(952) 993-6600
Mailing address
4200 DAHLBERG DR STE 300, GOLDEN VALLEY, MN 55422-4841
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10349
MN
Other
Enumeration date
11/09/2016
Last updated
04/06/2020
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