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Dr. Charles Donald Blodgett, DC
Chiropractor in West Allis, Wisconsin
NPI 1649371030

Charles Donald Blodgett is a Chiropractor based in West Allis, WI. Charles Donald Blodgett practices in West Allis, WI and has the professional credentials of DC. The NPI Number for Charles Donald Blodgett is 1649371030 and holds a License No. 3292-012 (Wisconsin).

The current practice location address for Charles Donald Blodgett is 10025 W Greenfield Ave, West Allis, WI and can be reached out via phone at 414-292-3499 and via fax at 414-292-3494.

Location: 10025 W Greenfield Ave, West Allis, WI, 53214-3956
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649371030
Provider Name
Charles Donald Blodgett
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
10025 W Greenfield Ave, West Allis, WI, 53214-3956
Phone Number
414-292-3499
Fax Number
414-292-3494
Provider Enumeration Date
09/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
38892300 05 WI
institution
Provider Business Practice Location Address Details
Address
10025 W Greenfield Ave
City
West Allis
State
Wisconsin
Zip
53214-3956
Phone Number
414-292-3499
Fax Number
414-292-3494
person
Provider Business Mailing Address Details
Address
10025 W Greenfield Ave
City
West Allis
State
Wisconsin
Zip
53214-3956
Phone Number
414-292-3499
Fax Number
414-292-3494
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
3292-012 (Wisconsin)
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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