Individual
DR. BLAKE KARL BERNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
62 EXECUTIVE PLAZA CT, MARYVILLE, IL 62062-5822
(618) 288-1796
Mailing address
62 EXECUTIVE PLAZA CT, MARYVILLE, IL 62062-5822
(618) 288-1796
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038012431
IL
Other
Enumeration date
05/20/2013
Last updated
08/29/2022
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