Healthcare Provider Details

I. General information

NPI: 1790893840
Provider Name (Legal Business Name): NATHAN PETER ZEIGER MSW APSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5151 W SILVER SPRING DR
MILWAUKEE WI
53218
US

IV. Provider business mailing address

3903 W LISBON AVE
MILWAUKEE WI
53208
US

V. Phone/Fax

Practice location:
  • Phone: 414-527-6970
  • Fax: 414-527-6971
Mailing address:
  • Phone: 414-342-2060
  • Fax: 414-342-3663

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number1155121
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: