Dr. Gregory Michael Blau
Chiropractor
14625 W Lisbon Rd
Brookfield
, Wisconsin 53005-1626
Dr. Gregory Michael Blau
Chiropractor
14625 W Lisbon Rd
Brookfield
, Wisconsin 53005-1626
(262) 783-9992
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About
Features
Specialties
- Chiropractor
Languages spoken
- English
Location
First Address
- Dr. Gregory Michael Blau
- W222n2728 Stonewood Ln
- Waukesha, WI
- Zip : 53186-1035
- Fax : (262) 783-9992
- Phone : (262) 547-2528
Second Address
- Dr. Gregory Michael Blau
- 14625 W Lisbon Rd
- Brookfield, WI
- Zip : 53005-1626
- Fax : (262) 783-9992
- Phone : (262) 783-5010
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1560 | WI |
National Provider Identifier
| NPI | 1003931437 |
|---|---|
| Provider Name | Dr. Gregory Michael Blau |
| First Address | Waukesha, WI 53186-1035 |
| Second Address | Brookfield, WI 53005-1626 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/03/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| T61519 | (02) | WI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.