Organization
BLOOM CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL S. BLOOM D.C. (OWNER)
(608) 833-3367
Entity
Organization
Contact information
Practice address
7514 WHITACRE RD, MADISON, WI 53717-1814
(608) 833-3367
Mailing address
7514 WHITACRE RD, MADISON, WI 53717-1814
(608) 833-3367
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1662
WI
Other
Enumeration date
11/01/2006
Last updated
08/22/2020
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