MEDICARE: DR. MIAKEN LEE ZEIGLER D.C.

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	4841-12	WI
2	111N00000X	Chiropractor	5623	MN
3	111N00000X	Chiropractor	6957	CO

General Provider Information

NPI Number	:	1154693059
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MIAKEN LEE ZEIGLER D.C.

Provider Business Mailing Address
First Line	:	43 W 11TH AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80204-3615
Country	:	US
Telephone Number	:	303-623-0808
Fax Number	:	303-955-4547

Provider Business Practice Location Address
First Line	:	43 W 11TH AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80204-3615
Country	:	US
Telephone Number	:	303-623-0808
Fax Number	:	303-955-4547

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

Provider Enumeration Date	:	02/07/2012
Last Update Date	:	10/26/2020

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