Provider Demographics
NPI:1932647294
Name:SERVEY, NATHAN ZACHARY (DC)
Entity Type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:ZACHARY
Last Name:SERVEY
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:PO BOX 156
Mailing Address - Street 2:
Mailing Address - City:VICTORIA
Mailing Address - State:MN
Mailing Address - Zip Code:55386-0156
Mailing Address - Country:US
Mailing Address - Phone:715-563-7456
Mailing Address - Fax:
Practice Address - Street 1:1700 STIEGER LAKE LANE
Practice Address - Street 2:SUITE 103
Practice Address - City:VICTORIA
Practice Address - State:MN
Practice Address - Zip Code:55386
Practice Address - Country:US
Practice Address - Phone:952-443-9000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-07
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN6295111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor