Michael Lawrence Zastrow in Green Bay - Chiropractor

Michael Lawrence Zastrow - NPI 1275586075

Michael Lawrence Zastrow is a Chiropractor in Green Bay, Wisconsin. Michael Lawrence Zastrow practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Michael Lawrence Zastrow is 1275586075. The last update date is 2007-12-19.

Michael Lawrence Zastrow's current location address is 2920 S Webster Ave, Green Bay, Wisconsin. You can contact this provider via phone number 9203399774 and fax number 9203399764. The mailing address for Michael Lawrence Zastrow is 2920 S Webster Ave, Green Bay, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Lawrence Zastrow
Address 2920 S Webster Ave, Green Bay, Wisconsin
Phone Number 9203399774
Fax Number 9203399764
Sole Proprietor N
Credentials D.C.

NPI Number Detail

NPI Number 1275586075
Provider Enumeration Date 2006-05-19
Last Updated Date 2007-12-19

Provider Mailing Address Detail

Address 2920 S Webster Ave
City Green Bay
State Wisconsin (WI)
Post Code 543011594
Phone Number 9203399774
Fax Number 9203399764

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 1813-012
Definition:
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
38998500 WI MEDICAID CLINIC NUMBER
38777600 WI --

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FAQs about Michael Lawrence Zastrow

What is the unique identifier code issued to Michael Lawrence Zastrow by the Centers for Medicare & Medicaid Services?

The Michael Lawrence Zastrow has been assigned the NPI (National Provider Identifier) 1275586075. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Michael Lawrence Zastrow is physically located?

The Michael Lawrence Zastrow is physically situated at the following address: 2920 S Webster Ave, Green Bay, WI, 543011594.

What is Michael Lawrence Zastrow's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Michael Lawrence Zastrow is Chiropractor, and the taxonomy classification code that categorizes this area of expertise is 111N00000X.

On what date was the 1275586075 assigned to Michael Lawrence Zastrow?

The Michael Lawrence Zastrow was issued its 1275586075 on 2006-05-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Michael Lawrence Zastrow, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Michael Lawrence Zastrow, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-12-19.

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