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Kathleen K Blazek

Emergency Physician Emergency Medical Services

100 Michigan St Ne
Grand Rapids , Michigan 49503-2560

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Kathleen K Blazek

Emergency Physician Emergency Medical Services

100 Michigan St Ne
Grand Rapids , Michigan 49503-2560

(616) 285-0846

Write a Review Save Call

Kathleen K Blazek

Emergency Physician Emergency Medical Services

100 Michigan St Ne
Grand Rapids , Michigan 49503-2560

(616) 285-0846 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Emergency Physician
  • Emergency Medical Services

Languages spoken

  • English

Location

100 Michigan St Ne Grand Rapids , Michigan 49503-2560

First Address

  • Kathleen K Blazek
  • Po Box 22067
  • Lansing, MI
  • Zip : 48909-8016
  • Fax : (616) 285-0846
  • Phone : (616) 975-1845

Second Address

  • Kathleen K Blazek
  • 100 Michigan St Ne
  • Grand Rapids, MI
  • Zip : 49503-2560
  • Phone : (616) 391-1680

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FAQs


Where did Kathleen K Blazek attend graduate school?

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Where did Kathleen K Blazek do her residency?

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Where did Kathleen K Blazek do her fellowship?

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Is Kathleen K Blazek board certified?

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What type of doctor is Kathleen K Blazek

Emergency Physician

In what state does Kathleen K Blazek practice in?

Michigan

Where is Kathleen K Blazek ’s practice located?

100 Michigan St Ne , Grand Rapids, Michigan, 49503-2560

What is Kathleen K Blazek ’s gender?

Female

Is Kathleen K Blazek a sole practitioner?

No

Is Kathleen K Blazek accepting new patients?

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What languages does Kathleen K Blazek speak?

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Does Kathleen K Blazek accept insurance?

Yes, Kathleen K Blazek accepts insurance

Does Kathleen K Blazek offers telemedicine?

Kathleen K Blazek has not indicated if she offers telemedicine

What is Kathleen K Blazek ’s professional license number?

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What is Kathleen K Blazek ’s NPI number?

1083672729

Does Kathleen K Blazek have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 207P00000X Emergency Physician 4301081742 MI
N 207PE0004X Emergency Medical Services 4301081742 MI

National Provider Identifier

NPI 1083672729
Provider Name Kathleen K Blazek
First Address Lansing, MI 48909-8016
Second Address Grand Rapids, MI 49503-2560
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 03/05/2006
Last Update Date 23/07/2020

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
P00398769 RAILROAD MEDICARE (01) MI

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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