Provider Demographics
NPI:1710985643
Name:ZUEGER, VICTORIA ANN (DC)
Entity Type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:ANN
Last Name:ZUEGER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 E GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:WISCONSIN RAPIDS
Mailing Address - State:WI
Mailing Address - Zip Code:54494-4647
Mailing Address - Country:US
Mailing Address - Phone:715-424-8000
Mailing Address - Fax:715-424-8020
Practice Address - Street 1:710 E GRAND AVE
Practice Address - Street 2:
Practice Address - City:WISCONSIN RAPIDS
Practice Address - State:WI
Practice Address - Zip Code:54494-4647
Practice Address - Country:US
Practice Address - Phone:715-424-8000
Practice Address - Fax:715-424-8020
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-13
Last Update Date:2013-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3285111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WIU60379Medicare UPIN
WI00035735Medicare ID - Type Unspecified