DR. Jerad Robert Bludorn, DC

NPI #1629076435 in Lake Norden, South Dakota

Provider Information

NPI Number: 1629076435
Entity Type: Individual
Name: DR. Jerad Robert Bludorn, DC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Jul 14, 2005
Last Updated: Nov 17, 2011

Practice Location

Address: 505 MAIN AVE
City: Lake Norden
State: South Dakota
ZIP Code: 57248-0252
Phone: (605) 785-3900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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