Blazar, Bruce Robert

Blazar, Bruce Robert is an individual health care provider with primary practice located at 516 Delaware Street Se University Of Mn Physicians, Pwb Fifth Floor, Clinic 5B, Minneapolis MN 55455. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology. Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology is his primary health care specialty. Blazar, Bruce Robert can be contacted via phone (612) 273-2800.

Contact Information

Primary practice address
516 Delaware Street Se University Of Mn Physicians, Pwb Fifth Floor, Clinic 5B Minneapolis MN 55455
Phone: (612) 273-2800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25330 Minnesota
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X 25330 Minnesota

Profile Details

NPI number 1003842162
LBN Legal business name Blazar, Bruce Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Oct 24th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003842162 NPPES
Minnesota Other 1008985 PREFERRED ONE
Minnesota MEDICAID 2086719301 PREFERRED ONE
Minnesota MEDICAID 30695100 PREFERRED ONE
Minnesota MEDICAID 761878600 PREFERRED ONE
Minnesota MEDICAID 7777470 PREFERRED ONE
Minnesota MEDICAID 1986259 PREFERRED ONE
Minnesota Other 132947 PREFERRED ONE
Minnesota MEDICAID 0243838 PREFERRED ONE
Minnesota MEDICAID 10387 PREFERRED ONE
Minnesota Other 768027 PREFERRED ONE
Minnesota MEDICAID 0052326 PREFERRED ONE
Minnesota Other 12-24756 PREFERRED ONE
Minnesota Other 12-70281 PREFERRED ONE
Minnesota Other HP21976 PREFERRED ONE

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