Blau Chiropractic Sc

NPI #1003003716 in Portage, Wisconsin

Provider Information

NPI Number: 1003003716
Entity Type: Organization
Organization Name: Blau Chiropractic Sc
Primary Specialty: Chiropractor
Enumeration Date: Sep 26, 2007
Last Updated: Nov 13, 2012

Practice Location

Address: 641 LATTON LN
City: Portage
State: Wisconsin
ZIP Code: 53901-1078
Phone: (608) 742-1300

Authorized Official

Name: DR. KEVIN A BLAU, DC
Title: CHIROPRACTOR
Phone: (608) 742-1300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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