EVAN BLAZEK

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1164301677

Practice Address

402 W COLLEGE AVE UNIT 2622
Ada, OH 45810

Phone: (317) 474-5402

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X Yes -

Frequently Asked Questions

NPI 1164301677 is the National Provider Identifier for EVAN BLAZEK, a Student in an Organized Health Care Education/Training Program provider located in Ada, OH. This NPI was enumerated on August 28, 2025.
EVAN BLAZEK practices at 402 W COLLEGE AVE UNIT 2622, Ada, OH 45810.

Quick Facts

NPI
1164301677
Type
Individual
Enumerated
Aug 28, 2025
Last Updated
Aug 28, 2025