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Dr. Kevin A. Blau, DC
Chiropractor in Portage, Wisconsin
NPI 1932194172

Kevin A. Blau is a Chiropractor based in Portage, WI. Kevin A. Blau practices in Portage, WI and has the professional credentials of DC. The NPI Number for Kevin A. Blau is 1932194172 and holds a License No. 2990 (Wisconsin).

The current practice location address for Kevin A. Blau is 641 Latton Ln, Portage, WI and can be reached out via phone at 608-742-1300 and via fax at 608-745-0147.

Location: 641 Latton Ln, Portage, WI, 53901-1078
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932194172
Provider Name
Kevin A. Blau
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
641 Latton Ln, Portage, WI, 53901-1078
Phone Number
608-742-1300
Fax Number
608-745-0147
Provider Enumeration Date
09/14/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
38887700 05 WI
institution
Provider Business Practice Location Address Details
Address
641 Latton Ln
City
Portage
State
Wisconsin
Zip
53901-1078
Phone Number
608-742-1300
Fax Number
608-745-0147
person
Provider Business Mailing Address Details
Address
641 Latton Ln
City
Portage
State
Wisconsin
Zip
53901-1078
Phone Number
608-742-1300
Fax Number
608-745-0147
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
2990 (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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