Mark A Blazek
M.D. | Pediatrics | Male
Mark A Blazek, M.D. is a Portage, Michigan based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Mark A Blazek is
670 Mall Dr, Portage, Michigan - 49024-2878. He can be contacted on phone at
269-327-1900 and fax number 269-327-1564.
Mark A Blazek is a sole proprietor of his business.
NPI number (Unique professional ID) for Mark A Blazek is
1649240292 which was assigned by NPPES on 25 Jan, 2006 and it was last updated on 08 Jul, 2007.
Mark A Blazek license number is
MB041426 for Pediatrics (208000000X) in Michigan.
Mark A Blazek is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Mark A Blazek basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Mark A Blazek |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Mark A Blazek 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 : | 670 Mall Dr
Portage, MI, 49024-2878
United States |
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| Phone Number : | 269-327-1900 |
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| Fax Number : | 269-327-1564 |
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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 : | 1649240292 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 25 Jan, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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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 Mark A Blazek are as mentioned. Primary taxonomy code for Mark A Blazek, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | MB041426 | MI |
Legacy Identifiers:
Other legacy medical identifiers of Mark A Blazek such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1398615 | MEDICAID | MI | |
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 : | 670 Mall Dr
Portage, MI, 49024-2878
United States |
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| Phone Number : | 269-327-1900 |
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| Fax Number : | 269-327-1564 |
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Business Location:
Patients can refer following map for directions to
Mark A Blazek practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.