Individual
KATHRYN BLAZEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
234 N BROADWAY UNIT 217, MILWAUKEE, WI 53202-5823
(630) 605-4524
Mailing address
234 N BROADWAY UNIT 217, MILWAUKEE, WI 53202-5823
(630) 605-4524
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
179362-30
WI
Other
Enumeration date
06/12/2013
Last updated
06/12/2013
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