John F Blattner, D.M.D Valid NPI

Individual provider · Customized Equipment (DME) · Waterloo, IL

NPI

1720008329

Type

Individual (Type 1)

Primary specialty

Customized Equipment (DME) (Durable Medical Equipment & Medical Supplies)

Specialty group

Suppliers

Taxonomy code

332BC3200X

License number

019016532 (IL)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-07-19

Last updated

2017-11-21