Individual
DR. CHARLES DONALD BLODGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
10025 W GREENFIELD AVE, WEST ALLIS, WI 53214-3956
(414) 292-3499
(414) 292-3494
Mailing address
10025 W GREENFIELD AVE, WEST ALLIS, WI 53214-3956
(414) 258-9511
(414) 607-3948
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3292-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38892300
—
WI
Enumeration date
09/26/2006
Last updated
02/15/2020
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