Mcdonough Orthopaedic And Sports Medicine Center Sc

NPI 1073506838 - Prosthetic/Orthotic Supplier - 335E00000X

NPI Details
NPI 1073506838
Enumeration Date 08/26/2005
Last Updated 03/06/2009
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name WAYNE R WAYNE
Position VICE PRESIDENT MCDONOUGH ORTHOPAEDI
Phone (715) 421-5257
Fax (715) 421-0111
Practice Location
410 DEWEY ST
WISCONSIN RAPIDS WI, 54494-4715, US
Phone (715) 421-5257
Fax (715) 421-0111
Business Location
PO BOX 8075
WISCONSIN RAPIDS WI, 54495-8075, US
Phone (715) 421-5257
Fax (715) 421-0111
Toxanomy
Taxonomy Code 335E00000X
License State
License Number
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According to our database, Mcdonough Orthopaedic And Sports Medicine Center Sc NPI is 1073506838, taxonomy code is 335E00000X Mcdonough Orthopaedic And Sports Medicine Center Sc physically located at 410 Dewey St, Wisconsin Rapids WI, 54494-4715. NPI Number 1033115704 has the healthcare provider type.

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1073506838 NPI number is provided on an as is basis without warranty of any kind. 1073506838 is maintained by the National Plan & Provider Enumeration System. The contents of Mcdonough Orthopaedic And Sports Medicine Center Sc are for informational purposes only.