Provider Demographics
NPI:1629168455
Name:ZUMSTEIN, DAVID P (DC)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:P
Last Name:ZUMSTEIN
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 1:8233 S 27TH ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:WI
Mailing Address - Zip Code:53132-9310
Mailing Address - Country:US
Mailing Address - Phone:414-761-3330
Mailing Address - Fax:414-761-3363
Practice Address - Street 1:8233 S 27TH ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:WI
Practice Address - Zip Code:53132-9310
Practice Address - Country:US
Practice Address - Phone:414-761-3330
Practice Address - Fax:414-761-3363
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3436-012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI38949800Medicaid
WIU65823Medicare UPIN
WI38949800Medicaid