Individual
ERIC BLAZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1476 KENWOOD DR STE 101, MENASHA, WI 54952-1134
(920) 284-7950
Mailing address
1476 KENWOOD DR STE 101, MENASHA, WI 54952-1134
(920) 284-7950
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/08/2026
Last updated
06/08/2026
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