| Procare Sport & Spine, Llc | |
|
555 S Midvale Blvd Ste 113, Madison, WI 53711-1419 | |
| (608) 292-4466 | |
| Not Available |
| Full Name | Procare Sport & Spine, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 555 S Midvale Blvd Ste 113, Madison, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134845035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Michael A Blodgett |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1881062156 PECOS PAC ID: 2668788654 Enrollment ID: I20150908000537 |
| Mailing Address | Practice Location Address |
|---|---|
| Procare Sport & Spine, Llc 555 S Midvale Blvd Ste 113, Madison, WI 53711-1419 Ph: (608) 292-4466 | Procare Sport & Spine, Llc 555 S Midvale Blvd Ste 113, Madison, WI 53711-1419 Ph: (608) 292-4466 |
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