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NPI Code Detail

MEDICARE: DR. MINDY L BLASKI MD

MEDICARE:  DR. MINDY L BLASKI  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1173000000XLegal MedicineMD00018121WA
2207Q00000XFamily Medicine PhysicianG36982CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659466969
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MINDY L BLASKI MD
Provider Business Mailing Address
First Line : 2023 26TH AVE E
Second Line :
City : SEATTLE
State : WA
Zip : 98112-3043
Country : US
Telephone Number : 206-850-4232
Fax Number :
Provider Business Practice Location Address
First Line : 3216 NE 45TH PL STE 106
Second Line :
City : SEATTLE
State : WA
Zip : 98105-4028
Country : US
Telephone Number : 206-526-0210
Fax Number : 206-526-0221
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2006
Last Update Date : 02/28/2012

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Directions to “ DR. MINDY L BLASKI MD” Practice Location

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