Kevin A. Blau, D.C. Valid NPI
Individual provider · Chiropractor · Portage, WI
- NPI
- 1932194172
- Type
- Individual (Type 1)
- Primary specialty
- Chiropractor
- Specialty group
- Chiropractic Providers
- Taxonomy code
- 111N00000X
- License number
- 2990 (WI)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2005-09-14
- Last updated
- 2007-07-09
Practice location
641 Latton Ln, Suite A
Portage, WI 53901-1078
(608) 742-1300