Provider Demographics
NPI:1255673562
Name:DR. VICTORIA ZUEGER, S.C.
Entity Type:Organization
Organization Name:DR. VICTORIA ZUEGER, S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZUEGER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:715-424-8000
Mailing Address - Street 1:710 E GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:WISCONSIN RAPIDS
Mailing Address - State:WI
Mailing Address - Zip Code:54494-4647
Mailing Address - Country:US
Mailing Address - Phone:715-424-8000
Mailing Address - Fax:715-424-8020
Practice Address - Street 1:710 E GRAND AVE
Practice Address - Street 2:
Practice Address - City:WISCONSIN RAPIDS
Practice Address - State:WI
Practice Address - Zip Code:54494-4647
Practice Address - Country:US
Practice Address - Phone:715-424-8000
Practice Address - Fax:715-424-8020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-25
Last Update Date:2013-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3285111NP0017X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NP0017XChiropractic ProvidersChiropractorPediatric ChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1710985643Medicaid