Individual
BLAKE CHADWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
509 UNIVERSITY DR., EAU CLAIRE, WI 54701
(715) 836-4636
Mailing address
405 FIELD TERRACE CT, DEFOREST, WI 53532-1799
(608) 215-6108
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
WI
Other
Enumeration date
01/03/2020
Last updated
01/03/2020
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