Healthcare Provider Details

I. General information

NPI: 1881377562
Provider Name (Legal Business Name): MICHAEL FRANCIS TRENTZ D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2023
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

242 E MAIN ST STE 100
SUN PRAIRIE WI
53590-2280
US

IV. Provider business mailing address

242 E MAIN ST STE 100
SUN PRAIRIE WI
53590-2280
US

V. Phone/Fax

Practice location:
  • Phone: 608-318-2713
  • Fax:
Mailing address:
  • Phone: 608-318-2713
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number6072-12
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: