Mcdonough Orthopaedic and Sports Medicine Center Sc

NPI #1609958404 in Wisconsin Rapids, Wisconsin

Provider Information

NPI Number
1609958404
Entity Type
Organization
Organization Name
Mcdonough Orthopaedic and Sports Medicine Center Sc
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Oct 20, 2006
Last Updated
Sep 27, 2011

Practice Location

Address
410 DEWEY ST
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
Durable Medical Equipment & Medical Supplies

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