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Blaze Castle

NPI 1801613211 · on the registry since 2024

Practice

Address
2365 Mcknight Rd N
North St Paul, MN 55109
Phone
(763) 316-7798
Clinicians at this address
17

Registry record

Primary taxonomy
171M00000X
171M00000X
Sex
Male
Record last updated
2024-09-25

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 Minnesota