Organization
PROCARE SPORT & SPINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ALVAH BLODGETT DC (OWNER)
(608) 292-4466
Entity
Organization
Contact information
Practice address
555 S MIDVALE BLVD STE 113, MADISON, WI 53711-1419
(608) 292-4466
Mailing address
555 S MIDVALE BLVD STE 113, MADISON, WI 53711-1419
(608) 292-4466
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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