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Michael Lawrence Zastrow, DC
Chiropractor in Green Bay, Wisconsin
NPI 1275586075

Michael Lawrence Zastrow is a Chiropractor based in Wausau, WI. Michael Lawrence Zastrow practices in Green Bay, WI and has the professional credentials of DC. The NPI Number for Michael Lawrence Zastrow is 1275586075 and holds a License No. 1813-012 (Wisconsin).

The current practice location address for Michael Lawrence Zastrow is 2920 S Webster Ave, Green Bay, WI and can be reached out via phone at 920-339-9774 and via fax at 920-339-9764.

Location: 2920 S Webster Ave, Green Bay, WI, 54401-3958
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275586075
Provider Name
Michael Lawrence Zastrow
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
2920 S Webster Ave, Green Bay, WI, 54401-3958
Phone Number
920-339-9774
Fax Number
920-339-9764
Provider Enumeration Date
05/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
38998500 01 WI MEDICAID CLINIC NUMBER
38777600 05 WI
institution
Provider Business Practice Location Address Details
Address
2920 S Webster Ave
City
Green Bay
State
Wisconsin
Zip
54301-1594
Phone Number
920-339-9774
Fax Number
920-339-9764
person
Provider Business Mailing Address Details
Address
2920 S Webster Ave
City
Green Bay
State
Wisconsin
Zip
54301-1594
Phone Number
920-339-9774
Fax Number
920-339-9764
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
1813-012 (Wisconsin)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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