Southwest Minnesota Orthopedics and Sports Medicine, INC

NPI #1063578466 in Marshall, Minnesota

Provider Information

NPI Number: 1063578466
Entity Type: Organization
Organization Name: Southwest Minnesota Orthopedics and Sports Medicine, INC
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Dec 29, 2006
Last Updated: Mar 18, 2010

Practice Location

Address: 1401 NWAKAMA ST
Address 2: SUITE 300
City: Marshall
State: Minnesota
ZIP Code: 56258-5529
Phone: (507) 929-7696

Authorized Official

Name: JODY L JACKELS, RN
Title: OFFICE MANAGER
Phone: (507) 393-7696

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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