Individual
DR. MICHAEL ALVAH BLODGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
555 S MIDVALE BLVD STE 113, MADISON, WI 53711-1419
(608) 292-4466
Mailing address
555 S MIDVALE BLVD STE 113, MADISON, WI 53711-1419
(608) 292-4466
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
12-5107
WI
Other
Enumeration date
09/03/2015
Last updated
09/29/2022
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