Individual
BRIANNA BLANCK-GROTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
709 DYER ST, CRIVITZ, WI 54114-7480
(715) 854-5025
(866) 323-0252
Mailing address
PO BOX 593, CRIVITZ, WI 54114-0593
(715) 854-5025
(866) 323-0252
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
038012744
IL
111N00000X
Chiropractor
Primary
5051
WI
111N00000X
Chiropractor
5051-12
WI
Other
Enumeration date
12/31/2014
Last updated
05/02/2018
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