DR. Kevin A. Blau, D.C.

NPI #1932194172 in Portage, Wisconsin

Provider Information

NPI Number: 1932194172
Entity Type: Individual
Name: DR. Kevin A. Blau, D.C.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Sep 14, 2005
Last Updated: Jul 9, 2007

Practice Location

Address: 641 LATTON LN
Address 2: SUITE A
City: Portage
State: Wisconsin
ZIP Code: 53901-1078
Phone: (608) 742-1300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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