Provider Demographics
NPI:1518018548
Name:SAATKAMP, MICHAEL A (DC)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:A
Last Name:SAATKAMP
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:604 MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:SHEBOYGAN
Mailing Address - State:WI
Mailing Address - Zip Code:53081-3425
Mailing Address - Country:US
Mailing Address - Phone:920-459-8475
Mailing Address - Fax:920-694-0437
Practice Address - Street 1:1320 N TAYLOR DR
Practice Address - Street 2:
Practice Address - City:SHEBOYGAN
Practice Address - State:WI
Practice Address - Zip Code:53081-3042
Practice Address - Country:US
Practice Address - Phone:920-459-8475
Practice Address - Fax:920-694-0437
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2011-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1972-012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI38794100Medicaid
WIT63180Medicare UPIN
WI38794100Medicaid