| Mcdonough Orthopaedic And Sports Medicine Center Sc | |
|
410 Dewey St Wisconsin Rapids WI 54494-4715 | |
| (715) 421-5257 | |
| (715) 421-0111 |
| Full Name | Mcdonough Orthopaedic And Sports Medicine Center Sc |
|---|---|
| Speciality | Orthopaedic Surgery |
| Location | 410 Dewey St, Wisconsin Rapids, Wisconsin |
| Authorized Official Name and Position | Wayne R Christie (VICE PRESIDENT) |
| Authorized Official Contact | 7154215257 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcdonough Orthopaedic And Sports Medicine Center Sc Po Box 8075 Wisconsin Rapids WI 54495-8075 Ph: (715) 421-5257 | Mcdonough Orthopaedic And Sports Medicine Center Sc 410 Dewey St Wisconsin Rapids WI 54494-4715 Ph: (715) 421-5257 |
| NPI Number | 1609869460 |
|---|---|
| Provider Enumeration Date | 08/26/2005 |
| Last Update Date | 03/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609869460 | NPI | - | NPPES |
| 32685600 | Medicaid | WI |
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