Wisconsin Sports Medicine and Orthopedics,s.c.

NPI #1861899833 in Oconto, Wisconsin

Provider Information

NPI Number: 1861899833
Entity Type: Organization
Organization Name: Wisconsin Sports Medicine and Orthopedics,s.c.
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Nov 19, 2014
Last Updated: Dec 9, 2014

Practice Location

Address: 820 ARBUTUS AVE
City: Oconto
State: Wisconsin
ZIP Code: 54153-2004
Phone: (920) 593-5555

Authorized Official

Name: DENISE K STROOBANTS
Title: CREDENTIALING SPECIALIST
Phone: (920) 445-7226

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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