Provider Demographics
NPI:1811003684
Name:ZEISZLER, ERIC JOHN ALAN (DC)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:JOHN ALAN
Last Name:ZEISZLER
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 1:14635 PENNOCK AVE
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55124-6430
Mailing Address - Country:US
Mailing Address - Phone:952-432-0700
Mailing Address - Fax:
Practice Address - Street 1:4110 RAHN RD
Practice Address - Street 2:321
Practice Address - City:EAGAN
Practice Address - State:MN
Practice Address - Zip Code:55122-2163
Practice Address - Country:US
Practice Address - Phone:651-994-1633
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4829111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor