MEDICARE: ROBERT DESUTTER DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	1641	WI

General Provider Information

NPI Number	:	1063494441
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT DESUTTER DC

Provider Business Mailing Address
First Line	:	701C N RAILROAD ST
Second Line	:	PO BOX 851
City	:	EAGLE RIVER
State	:	WI
Zip	:	54521-8833
Country	:	US
Telephone Number	:	715-479-4214
Fax Number	:	715-479-4214

Provider Business Practice Location Address
First Line	:	701C N RAILROAD ST
Second Line	:
City	:	EAGLE RIVER
State	:	WI
Zip	:	54521-8833
Country	:	US
Telephone Number	:	715-479-4214
Fax Number	:	715-479-4214

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/18/2005
Last Update Date	:	11/16/2010

Similar Medicare Providers

1134645682 — EAGLE FAMILY CHIROPRACTIC
Practice Location Address:

701 N RAILROAD ST
EAGLE RIVER, WI
54521-8833

Practice Phone: 715-479-4214
Practice Fax: 715-477-2770

1578137709 — MRS. KECIA GADDIST CNA
Practice Location Address:

4660 RIVER RD
JOHNS ISLAND, SC
29455-8833

Practice Phone: 843-806-7177
Practice Fax:

1053481473 — REDMAN & GELINAS SC
Practice Location Address:

141 S WILLOW ST STE 102
EAGLE RIVER, WI
54521-8878

Practice Phone: 715-479-9390
Practice Fax: 715-477-1752

1760487607 — DR. DALE T MASSIGNAN O.D.
Practice Location Address:

523 EAST WALL STREET
EAGLE RIVER, WI
54521

Practice Phone: 715-479-6489
Practice Fax: 715-479-6200

1609836360 — MRS. SUSAN KAY CHOBANOV
Practice Location Address:

1897 MCKINLEY BLVD
EAGLE RIVER, WI
54521-8453

Practice Phone: 715-477-2198
Practice Fax:

1346204385 — ASPIRUS EAGLE RIVER HOSPITAL & CLINICS, INC.
Practice Location Address:

201 HOSPITAL RD
EAGLE RIVER, WI
54521-8835

Practice Phone: 715-479-7411
Practice Fax: 715-479-0395

Directions to “ ROBERT DESUTTER DC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.