Sport & Spine Clinic of Fort Atkinson Limited Partnership

NPI #1861638900 in Madison, Wisconsin

Provider Information

NPI Number: 1861638900
Entity Type: Organization
Organization Name: Sport & Spine Clinic of Fort Atkinson Limited Partnership
Subpart: Yes (part of a larger organization)
Parent Organization: SPORT & SPINE CLINIC OF FORT ATKINSON LIMITED PARTNERSHIP
Primary Specialty: Durable Medical Equipment & Medical Supplies
Enumeration Date: Dec 19, 2008
Last Updated: Jun 5, 2009

Practice Location

Address: 340 S WHITNEY WAY
Address 2: SUITE 200
City: Madison
State: Wisconsin
ZIP Code: 53705-4656
Phone: (608) 238-1312

Authorized Official

Name: LAWRANCE W MCAFEE
Title: CFO
Phone: (713) 297-7000

Specialties & Taxonomy Codes

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

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