| Mark A Blazek, MD | |
|
670 Mall Dr, Portage, MI 49024-2878 | |
| (269) 327-1900 | |
| (269) 327-1564 |
| Full Name | Mark A Blazek |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 670 Mall Dr, Portage, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649240292 | NPI | - | NPPES |
| 1398615 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | MB041426 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mark A Blazek, MD 670 Mall Dr, Portage, MI 49024-2878 Ph: (269) 327-1900 | Mark A Blazek, MD 670 Mall Dr, Portage, MI 49024-2878 Ph: (269) 327-1900 |
Sara Ehlke-bejcek, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2680 W Centre Ave, Portage, MI 49024 Phone: 269-324-2400 Fax: 269-324-0450 | |
Linda Garrison, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8001 Angling Rd, Portage, MI 49024 Phone: 269-329-0944 | |
Dr. Anthony J Van Es, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5082 Lovers Ln, Portage, MI 49002 Phone: 269-381-0118 Fax: 269-381-4610 | |
Dr. Elena Jean Lewis, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1324 W Milham Ave, Suite 1, Portage, MI 49024 Phone: 269-342-0196 Fax: 269-342-0532 | |
Thomas R Akland, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 8001 Angling Rd, Portage, MI 49024 Phone: 269-329-0944 | |
Julie Elias, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2680 W Centre Ave, Portage, MI 49024 Phone: 269-324-2400 Fax: 269-324-0450 | |
Sandra Wiederhold, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 670 Mall Dr, Portage, MI 49024 Phone: 269-327-1900 |