Individual
DR. GREGORY MICHAEL BLAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
14625 W LISBON RD, BROOKFIELD, WI 53005-1626
(262) 783-5010
(262) 783-9992
Mailing address
W222N2728 STONEWOOD LN, WAUKESHA, WI 53186-1035
(262) 547-2528
(262) 783-9992
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1560
WI
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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