Provider Demographics
NPI:1922201045
Name:METZGER, WAYNE ANDREW (DC)
Entity Type:Individual
Prefix:DR
First Name:WAYNE
Middle Name:ANDREW
Last Name:METZGER
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 1:4680 W BRADLEY RD
Mailing Address - Street 2:
Mailing Address - City:BROWN DEER
Mailing Address - State:WI
Mailing Address - Zip Code:53223-3764
Mailing Address - Country:US
Mailing Address - Phone:414-355-7690
Mailing Address - Fax:
Practice Address - Street 1:4680 W BRADLEY RD
Practice Address - Street 2:
Practice Address - City:BROWN DEER
Practice Address - State:WI
Practice Address - Zip Code:53223-3764
Practice Address - Country:US
Practice Address - Phone:414-355-7690
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-06
Last Update Date:2013-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2558111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor