Individual
ANDREW JOHN BLAZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 S 90TH ST, OMAHA, NE 68114-3907
(402) 397-9800
Mailing address
111 S 90TH ST, OMAHA, NE 68114-3907
(402) 397-9800
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
36256
NE
208800000X
Urology Physician
MD-52875
IA
Other
Enumeration date
05/08/2019
Last updated
10/16/2024
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