Mcdonough Orthopaedic and Sports Medicine Center Sc
NPI #1073506838 in Wisconsin Rapids, Wisconsin
Provider Information
- NPI Number
- 1073506838
- Entity Type
- Organization
- Organization Name
- Mcdonough Orthopaedic and Sports Medicine Center Sc
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MCDONOUGH ORTHOPAEDIC AND SPORTS MEDICINE CENTER SC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Aug 26, 2005
- Last Updated
- Mar 6, 2009
Practice Location
- Address
- 410 DEWEY ST
- City
- Wisconsin Rapids
- State
- Wisconsin
- ZIP Code
- 54494-4715
- Phone
- (715) 421-5257
Authorized Official
- Name
- MR. WAYNE R CHRISTIE, MD
- Title
- VICE PRESIDENT MCDONOUGH ORTHOPAEDI
- Phone
- (715) 421-5257
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
| Durable Medical Equipment & Medical Supplies |
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