Provider Demographics
NPI:1881836534
Name:STEUCK, AARON P (DC)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:P
Last Name:STEUCK
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 1:601 S 32ND AVE
Mailing Address - Street 2:
Mailing Address - City:WAUSAU
Mailing Address - State:WI
Mailing Address - Zip Code:54401-3958
Mailing Address - Country:US
Mailing Address - Phone:715-848-1741
Mailing Address - Fax:715-848-2225
Practice Address - Street 1:4250 10TH ST
Practice Address - Street 2:
Practice Address - City:MENOMINEE
Practice Address - State:MI
Practice Address - Zip Code:49858-1312
Practice Address - Country:US
Practice Address - Phone:906-863-8410
Practice Address - Fax:906-863-1242
Is Sole Proprietor?:No
Enumeration Date:2009-03-26
Last Update Date:2010-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009651111N00000X
WI4483-012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor