Provider Demographics
NPI:1962278986
Name:NEUZIL, MICHAELA (DC)
Entity type:Individual
Prefix:
First Name:MICHAELA
Middle Name:
Last Name:NEUZIL
Suffix:
Gender:F
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 256
Mailing Address - Street 2:
Mailing Address - City:WEST CONCORD
Mailing Address - State:MN
Mailing Address - Zip Code:55985-0256
Mailing Address - Country:US
Mailing Address - Phone:507-527-2201
Mailing Address - Fax:507-527-2202
Practice Address - Street 1:302 MAIN ST
Practice Address - Street 2:
Practice Address - City:WEST CONCORD
Practice Address - State:MN
Practice Address - Zip Code:55985-2068
Practice Address - Country:US
Practice Address - Phone:507-527-2201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-30
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN7152111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor