MEDICARE: ZUKER CHIROPRACTIC LLC

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	2301004660	MI

General Provider Information

NPI Number	:	1679075501
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZUKER CHIROPRACTIC LLC

Provider Business Mailing Address
First Line	:	1915 W GRAND RIVER AVE
Second Line	:
City	:	OKEMOS
State	:	MI
Zip	:	48864-1701
Country	:	US
Telephone Number	:	517-347-3013
Fax Number	:	517-347-2679

Provider Business Practice Location Address
First Line	:	1915 W GRAND RIVER AVE
Second Line	:
City	:	OKEMOS
State	:	MI
Zip	:	48864-1701
Country	:	US
Telephone Number	:	517-347-3013
Fax Number	:	517-347-2679

Authorized Official
Title or Position	:	OWNER
Name	:	DR. GERALD A ZUKER
Credential	:	D.C.
Telephone Number	:	517-347-3013

Provider Enumeration Date	:	03/07/2018
Last Update Date	:	04/02/2024

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