Search › Ohio › 207Q00000X
Jonathan Blaza, MD
NPI 1245625359 · on the registry since 2015
Practice
- Address
- 1250 W National Rd Ste 400
Englewood, OH 45315 - Phone
- (937) 832-3300
- Clinicians at this address
- 15
Additional practice sites
- 2801 W Kinnickinnic River Pkwy Ste 250, Milwaukee, WI
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 390200000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-11-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio