Healthcare Provider Details

I. General information

NPI: 1629168455
Provider Name (Legal Business Name): DAVID P. ZUMSTEIN D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/13/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8233 S 27TH ST
FRANKLIN WI
53132-9310
US

IV. Provider business mailing address

8233 S 27TH ST
FRANKLIN WI
53132-9310
US

V. Phone/Fax

Practice location:
  • Phone: 414-761-3330
  • Fax: 414-761-3363
Mailing address:
  • Phone: 414-761-3330
  • Fax: 414-761-3363

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3436-012
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: