Healthcare Provider Details

I. General information

NPI: 1609146182
Provider Name (Legal Business Name): GRACE E ZUIKER NASH DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: GRACE E ZUIKER DC

II. Dates (important events)

Enumeration Date: 12/30/2011
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5829 BIRCH LN
RHINELANDER WI
54501-8986
US

IV. Provider business mailing address

5829 BIRCH LN
RHINELANDER WI
54501-8986
US

V. Phone/Fax

Practice location:
  • Phone: 715-365-1200
  • Fax: 715-365-1202
Mailing address:
  • Phone: 715-365-1200
  • Fax: 715-365-1202

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number4842-12
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: