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BLAKE MICHAEL BODENDORFER M.D.

Individual Provider (NPI-1) Active

Orthopaedic Surgery, Sports Medicine

Provider Information

NPI Number
1083000905
Provider Type
Individual Provider (NPI-1)
Credentials
M.D.
Status
Active

Contact & Location

Address
1 EDMUNDSON PL STE 500, COUNCIL BLUFFS, IA, 515034619
Phone
(712) 323-5333

Specialties & Taxonomies

Orthopaedic Surgery, Sports Medicine Primary License: IL #036152051

All Addresses

LOCATION

1 EDMUNDSON PL STE 500

COUNCIL BLUFFS, IA, 515034619

(712) 323-5333

MAILING

1611 W HARRISON ST STE 400

CHICAGO, IL, 606124861

(312) 432-2351