Individual
MICHELLE BLASKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4600 S LINDBERGH BLVD, SAINT LOUIS, MO 63127-1830
(314) 729-0027
(314) 729-1015
Mailing address
4600 S LINDBERGH BLVD, SAINT LOUIS, MO 63127-1830
(314) 729-0027
(314) 729-1015
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2017001197
MO
111N00000X
Chiropractor
2017001197M
MO
Other
Enumeration date
01/31/2017
Last updated
09/22/2022
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