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Dan Blaser

Pharmacist in Janesville, WI. Individual provider (NPI-1).

NPI number1104101237
StatusActive
Last updated in NPPESOct 20, 2011

Details

NPI
1104101237
Entity type
Individual (NPI-1)
Name
Mr. Dan Blaser
Sex
Male
Sole proprietor
No
Enumeration date
Oct 20, 2011
Last updated
Oct 20, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist12142WIYes

Practice location

1933 W Court St
Janesville, WI 53548-3417

Phone 608-755-9805

Mailing address

1933 W Court St
Janesville, WI 53548-3417

Phone 608-755-9805

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