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Individual

DR. PAUL STEWART BLOOM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
7514 WHITACRE RD, MADISON, WI 53717-1814
(608) 833-3367
(608) 833-3368
Mailing address
7514 WHITACRE RD, MADISON, WI 53717-1814
(608) 833-3367
(608) 833-3368

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1662
WI

Other

Enumeration date
08/31/2006
Last updated
07/08/2007
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