# ZASTROW CHIROPRACTIC OFFICE, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457751778
- **Authorized official:** DR. MICHAEL LAWRENCE ZASTROW D.C. (OWNER)
- **Authorized official phone:** (920) 465-0400

## Contact information

- **Practice address:** 1624 E MASON ST, GREEN BAY, WI 54302-2739
- **Practice address phone:** (920) 465-0400
- **Practice address fax:** (920) 465-1430
- **Mailing address:** 1624 E MASON ST, GREEN BAY, WI 54302-2739
- **Mailing address phone:** (920) 465-0400
- **Mailing address fax:** (920) 465-1430

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NN1001X | Nutrition Chiropractor | 1813-12 | WI | Yes |

## Other

- **Enumeration date:** 08/25/2014
- **Last updated:** 08/25/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 38777600 | — | WI |