Provider Demographics
NPI:1518129931
Name:MEYER, DAVID DONALD (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:DONALD
Last Name:MEYER
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 1:708 W RYAN ST
Mailing Address - Street 2:
Mailing Address - City:BRILLION
Mailing Address - State:WI
Mailing Address - Zip Code:54110-1045
Mailing Address - Country:US
Mailing Address - Phone:920-756-2151
Mailing Address - Fax:
Practice Address - Street 1:4070 W SPENCER ST
Practice Address - Street 2:
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54914-4015
Practice Address - Country:US
Practice Address - Phone:920-731-3255
Practice Address - Fax:920-731-3357
Is Sole Proprietor?:No
Enumeration Date:2008-06-26
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4424-12111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor