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NPI Code Detail

MEDICARE: DR. BLAIR ANN-BRESLIN WOLFERT DC

MEDICARE:  DR. BLAIR ANN-BRESLIN WOLFERT  DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor2301010652MI
2111N00000XChiropractor4299SC

General Provider Information

NPI Number : 1326543075
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BLAIR ANN-BRESLIN WOLFERT DC
Provider Business Mailing Address
First Line : 6177 LAKE MICHIGAN DR
Second Line :
City : ALLENDALE
State : MI
Zip : 49401-9244
Country : US
Telephone Number : 616-379-9329
Fax Number : 616-379-9329
Provider Business Practice Location Address
First Line : 6177 LAKE MICHIGAN DR
Second Line :
City : ALLENDALE
State : MI
Zip : 49401-9244
Country : US
Telephone Number : 616-379-9329
Fax Number : 616-379-9329
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2018
Last Update Date : 05/26/2026

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Directions to “ DR. BLAIR ANN-BRESLIN WOLFERT DC” Practice Location

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