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Dr. Jerad Robert Bludorn, DC
Chiropractor in Lake Norden, South Dakota
NPI 1629076435

Jerad Robert Bludorn is a Chiropractor based in Lake Norden, SD. Jerad Robert Bludorn practices in Lake Norden, SD and has the professional credentials of DC. The NPI Number for Jerad Robert Bludorn is 1629076435 and holds a License No. 1025 (South Dakota).

The current practice location address for Jerad Robert Bludorn is 505 Main Ave, Lake Norden, SD and can be reached out via phone at 605-785-3900 and via fax at 605-785-3908.

Location: 505 Main Ave, Lake Norden, SD, 57248-0252
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629076435
Provider Name
Jerad Robert Bludorn
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
505 Main Ave, Lake Norden, SD, 57248-0252
Phone Number
605-785-3900
Fax Number
605-785-3908
Provider Enumeration Date
07/14/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4995423 01 BCBS
7601960 05 SD
institution
Provider Business Practice Location Address Details
Address
505 Main Ave
City
Lake Norden
State
South Dakota
Zip
57248-0252
Phone Number
605-785-3900
Fax Number
605-785-3908
person
Provider Business Mailing Address Details
Address
505 Main Ave
City
Lake Norden
State
South Dakota
Zip
57248-0252
Phone Number
605-785-3900
Fax Number
605-785-3908
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
1025 (South Dakota)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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