Individual
BLAKE BREDESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
210 E REED AVE, MANITOWOC, WI 54220-2121
(920) 682-1111
Mailing address
210 E REED AVE, MANITOWOC, WI 54220-2121
(920) 682-1111
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6210-12
WI
Other
Enumeration date
05/10/2023
Last updated
08/14/2024
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