Provider Demographics
NPI:1528367521
Name:SCHUELLER, DONALD BURTON (DC)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:BURTON
Last Name:SCHUELLER
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 1:808 5TH ST
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:WI
Mailing Address - Zip Code:54016-1613
Mailing Address - Country:US
Mailing Address - Phone:715-222-2375
Mailing Address - Fax:
Practice Address - Street 1:219 BROAD ST N
Practice Address - Street 2:
Practice Address - City:PRESCOTT
Practice Address - State:WI
Practice Address - Zip Code:54021-1703
Practice Address - Country:US
Practice Address - Phone:715-222-2375
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-16
Last Update Date:2012-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2200-12111N00000X
MN2463111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor