person
Jason R Blazina
Driver in Milwaukee, Wisconsin
NPI 1093925562

Jason R Blazina is a Driver based in Milwaukee, WI. Jason R Blazina practices in Milwaukee, WI. The NPI Number for Jason R Blazina is 1093925562 and holds a License No. B425-4366-9058-05 (Wisconsin).

The current practice location address for Jason R Blazina is 1000 N 92Nd St, Milwaukee, WI and can be reached out via phone at 414-479-9400 and via fax at 414-259-1663.

Location: 1000 N 92Nd St, Milwaukee, WI, 53220-1311
person
Provider Profile Details
NPI Number
1093925562
Provider Name
Jason R Blazina
Credential
Provider Entity Type
Individual
Gender
Male
Address
1000 N 92Nd St, Milwaukee, WI, 53220-1311
Phone Number
414-479-9400
Fax Number
414-259-1663
Provider Enumeration Date
05/23/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1000 N 92Nd St
City
State
Zip
53226-3533
Phone Number
414-479-9400
Fax Number
414-259-1663
person
Provider Business Mailing Address Details
Address
1000 N 92Nd St
City
State
Zip
53226-3533
Phone Number
414-479-9400
Fax Number
414-259-1663
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
B425-4366-9058-05 (Wisconsin)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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