Organization
LAKE NORDEN FAMILY CHIROPRACTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERAD ROBERT BLUDORN DC (OWNER)
(605) 785-3900
Entity
Organization
Contact information
Practice address
505 MAIN AVE, LAKE NORDEN, SD 57248-0252
(605) 785-3900
(605) 785-3908
Mailing address
PO BOX 252, LAKE NORDEN, SD 57248-0252
(605) 785-3900
(605) 785-3908
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1025
SD
Other
Enumeration date
01/10/2008
Last updated
04/07/2011
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