Provider Demographics
NPI:1376029231
Name:TESKE, MEGHAN BETH (DC)
Entity type:Individual
Prefix:DR
First Name:MEGHAN
Middle Name:BETH
Last Name:TESKE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1113 COLLEGE AVE STE A
Mailing Address - Street 2:
Mailing Address - City:SOUTH MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53172-1142
Mailing Address - Country:US
Mailing Address - Phone:414-762-8441
Mailing Address - Fax:414-762-0755
Practice Address - Street 1:1113 COLLEGE AVE STE A
Practice Address - Street 2:
Practice Address - City:SOUTH MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53172-1142
Practice Address - Country:US
Practice Address - Phone:414-762-8441
Practice Address - Fax:414-762-0755
Is Sole Proprietor?:No
Enumeration Date:2018-07-13
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.013232111N00000X
WI5737-12111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor