Healthcare Provider Details
I. General information
NPI: 1255673562
Provider Name (Legal Business Name): DR. VICTORIA ZUEGER, S.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/25/2013
Last Update Date: 08/02/2024
Certification Date: 08/02/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1720 GROVE AVE
WISCONSIN RAPIDS WI
54494-6907
US
IV. Provider business mailing address
1720 GROVE AVE
WISCONSIN RAPIDS WI
54494-6907
US
V. Phone/Fax
- Phone: 715-424-8000
- Fax: 715-424-8020
- Phone: 715-424-8000
- Fax: 715-424-8020
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111NP0017X |
| Taxonomy | Pediatric Chiropractor |
| License Number | 3285 |
| License Number State | WI |
VIII. Authorized Official
Name:
VICTORIA
ZUEGER
Title or Position: PRESIDENT
Credential: D.C.
Phone: 715-424-8000