Sport & Spine Clinic L P

NPI #1134334691 in Wausau, Wisconsin

Provider Information

NPI Number: 1134334691
Entity Type: Organization
Organization Name: Sport & Spine Clinic L P
Primary Specialty: Durable Medical Equipment & Medical Supplies
Enumeration Date: May 10, 2007
Last Updated: Sep 10, 2021

Practice Location

Address: 327 N 17TH AVE
Address 2: SUITE 7
City: Wausau
State: Wisconsin
ZIP Code: 54401-4225
Phone: (715) 845-2942

Authorized Official

Name: RICHARD BINSTEIN
Title: EVP
Phone: (713) 297-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X	Primary

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