Dr. Bruce Robert Blazar
Pediatrician Pediatric Hematology-Oncologist
516 Delaware Street Se University Of Mn Physicians, Pwb Fifth Floor, Clinic 5b
Minneapolis
, Minnesota 55455
Dr. Bruce Robert Blazar
Pediatrician Pediatric Hematology-Oncologist
516 Delaware Street Se University Of Mn Physicians, Pwb Fifth Floor, Clinic 5b
Minneapolis
, Minnesota 55455
(612) 626-4074
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About
Features
Specialties
- Pediatrician
- Pediatric Hematology-Oncologist
Languages spoken
- English
Location
First Address
- Dr. Bruce Robert Blazar
- 420 Delaware Street Se University Of Minnesota Physicians, Mmc 109
- Minneapolis, MN
- Zip : 55455
- Fax : (612) 626-4074
- Phone : (612) 626-2961
Second Address
- Dr. Bruce Robert Blazar
- 516 Delaware Street Se University Of Mn Physicians, Pwb Fifth Floor, Clinic 5b
- Minneapolis, MN
- Zip : 55455
- Phone : (612) 273-2800
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | 25330 | MN |
| Y | 2080P0207X | Pediatric Hematology-Oncologist | 25330 | MN |
National Provider Identifier
| NPI | 1003842162 |
|---|---|
| Provider Name | Dr. Bruce Robert Blazar |
| First Address | Minneapolis, MN 55455 |
| Second Address | Minneapolis, MN 55455 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/06/2006 |
| Last Update Date | 24/10/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0052326 | (05) | MT |
| 0243838 | (05) | OH |
| 1008985 | PREFERRED ONE (01) | MN |
| 10387 | (05) | ND |
| 12-24756 | MEDICA CHOICE (01) | MN |
| 12-70281 | MEDICA PRIMARY (01) | MN |
| 132947 | UCARE (01) | MN |
| 1986259 | (05) | LA |
| 2086719301 | (05) | KS |
| 30695100 | (05) | WI |
| 370010895 | (02) | MN |
| 761878600 | (05) | MN |
| 768027 | ARAZ (01) | MN |
| 7777470 | (05) | SD |
| D82174 | (02) | MN |
| HP21976 | HEALTHPARTNERS (01) | MN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.