Provider Demographics
NPI:1659464774
Name:THE UTSCHIG GROUP, LTD.
Entity Type:Organization
Organization Name:THE UTSCHIG GROUP, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:R
Authorized Official - Last Name:UTSCHIG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:608-274-2266
Mailing Address - Street 1:3070 FISH HATCHERY RD
Mailing Address - Street 2:
Mailing Address - City:FITCHBURG
Mailing Address - State:WI
Mailing Address - Zip Code:53713-3187
Mailing Address - Country:US
Mailing Address - Phone:608-274-2266
Mailing Address - Fax:608-274-1945
Practice Address - Street 1:4126 LIEN RD
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53704-3605
Practice Address - Country:US
Practice Address - Phone:608-241-4500
Practice Address - Fax:608-241-4522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI39001400Medicaid