| Brianna Blanck-grott, DC | |
|
709 Dyer St, Crivitz, WI 54114-7480 | |
| (715) 854-5025 | |
| (866) 323-0252 |
| Full Name | Brianna Blanck-grott |
|---|---|
| Gender | Female |
| Speciality | Chiropractor |
| Location | 709 Dyer St, Crivitz, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831587633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 038012744 (Illinois) | Secondary |
| 111N00000X | Chiropractor | 5051-12 (Wisconsin) | Secondary |
| 111N00000X | Chiropractor | 5051 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Brianna Blanck-grott, DC Po Box 593, Crivitz, WI 54114-0593 Ph: (715) 854-5025 | Brianna Blanck-grott, DC 709 Dyer St, Crivitz, WI 54114-7480 Ph: (715) 854-5025 |
Kellen Blanck-grott, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 709 Dyer St, Crivitz, WI 54114 Phone: 715-854-5025 | |
Northern Chiropractic And Wellness Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 709 Dyer St, Crivitz, WI 54114 Phone: 715-854-5025 |