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Individual
DANIEL R BLOHM
Active
Individual
DANIEL R BLOHM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A05764
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15003
BLUECARD
—
05
—
2109264
—
IA
01
—
5521461
AETNA
—
01
—
9990
MIDLAND CHOICE
—
Enumeration date
01/26/2006
Last updated
09/08/2011
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