Individual
MITCHELL BLUML
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1239 W MASON ST, GREEN BAY, WI 54303-2047
(920) 884-6100
Mailing address
1239 W MASON ST, GREEN BAY, WI 54303-2047
(920) 884-6100
(920) 884-6311
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6130-12
WI
Other
Enumeration date
11/06/2023
Last updated
11/26/2024
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