Dr. Bruce Robert Blazar
M.D. | Pediatric Hematology-Oncology | Male
Dr. Bruce Robert Blazar, M.D. is a Minneapolis, Minnesota based Pediatric doctor with medical specialization in
Pediatric Hematology-Oncology.
Current practice location of Dr. Bruce Robert Blazar is
516 Delaware Street Se, University Of Mn Physicians, Pwb Fifth Floor, Clinic 5b, Minneapolis, Minnesota - 55455. He can be contacted on phone at
612-273-2800.
Dr. Bruce Robert Blazar is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Bruce Robert Blazar is
1003842162 which was assigned by NPPES on 23 Jun, 2006 and it was last updated on 24 Oct, 2012.
Dr. Bruce Robert Blazar license number is
25330 for Pediatrics Pediatric Hematology-Oncology (2080P0207X) in Minnesota.
Dr. Bruce Robert Blazar is trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Complete Profile:
Dr. Bruce Robert Blazar basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Hematology-Oncology |
|---|
| Provider Name : | Dr. Bruce Robert Blazar |
|---|
| Credential : | M.D. |
|---|
| Gender : | Male |
|---|
Business Address:
Dr. Bruce Robert Blazar address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 516 Delaware Street Se, University Of Mn Physicians, Pwb Fifth Floor, Clinic 5b
Minneapolis, MN, 55455
United States |
|---|
| Phone Number : | 612-273-2800 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1003842162 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 23 Jun, 2006 |
|---|
| Last Updated On : | 24 Oct, 2012 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Bruce Robert Blazar are as mentioned. Primary taxonomy code for Dr. Bruce Robert Blazar, M.D. is
2080P0207X (Pediatrics Pediatric Hematology-Oncology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 25330 | MN |
| 2080P0207X | Pediatrics Pediatric Hematology-Oncology | Yes | 25330 | MN |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Bruce Robert Blazar such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 12-70281 | Other | MN | MEDICA PRIMARY |
| 7777470 | MEDICAID | SD | |
| 30695100 | MEDICAID | WI | |
| 0243838 | MEDICAID | OH | |
| 768027 | Other | MN | ARAZ |
| HP21976 | Other | MN | HEALTHPARTNERS |
| 2086719301 | MEDICAID | KS | |
| 0052326 | MEDICAID | MT | |
| 10387 | MEDICAID | ND | |
| 761878600 | MEDICAID | MN | |
| 1008985 | Other | MN | PREFERRED ONE |
| 12-24756 | Other | MN | MEDICA CHOICE |
| 132947 | Other | MN | UCARE |
| 1986259 | MEDICAID | LA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 420 Delaware Street Se, University Of Minnesota Physicians, Mmc 109
Minneapolis, MN, 55455
United States |
|---|
| Phone Number : | 612-626-2961 |
|---|
| Fax Number : | 612-626-4074 |
|---|
Business Location:
Patients can refer following map for directions to
Dr. Bruce Robert Blazar practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.