NPI 1003003716
Blau Chiropractic Sc
Practice location
- Address
- 641 Latton Ln, Portage, WI 53901-1078
- Phone
- (608) 742-1300
- Fax
- (608) 745-0147
Authorised official
- Name
- Kevin a Blau
- Title
- Chiropractor
- Phone
- (608) 742-1300
Registered specialties
Chiropractor
Primary
Registry record
- NPI
- 1003003716
- Entity type
- Organization
- NPI issued
- 26 Sep 2007
- Record last updated
- 13 Nov 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.