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Individual

MICHAEL BENJAMIN BLAZAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3931 LOUISIANA AVE S, ST LOUIS PARK, MN 55426
(952) 993-3248
Mailing address
3931 LOUISIANA AVE S, ST LOUIS PARK, MN 55426-5000

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
64999
MN

Other

Enumeration date
04/08/2013
Last updated
06/27/2019
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