Provider Demographics
NPI:1902312085
Name:ZAGER, MATTHEW ARTHUR (DC)
Entity Type:Individual
Prefix:
First Name:MATTHEW
Middle Name:ARTHUR
Last Name:ZAGER
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 1:1164 VIERLING DR E
Mailing Address - Street 2:
Mailing Address - City:SHAKOPEE
Mailing Address - State:MN
Mailing Address - Zip Code:55379-4313
Mailing Address - Country:US
Mailing Address - Phone:952-972-8840
Mailing Address - Fax:
Practice Address - Street 1:1164 VIERLING DR E
Practice Address - Street 2:
Practice Address - City:SHAKOPEE
Practice Address - State:MN
Practice Address - Zip Code:55379-4313
Practice Address - Country:US
Practice Address - Phone:952-447-8980
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-27
Last Update Date:2020-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN6456111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor