| NPI | 1043254162 |
|---|---|
| Doing Business As | ORTHOPEDIC & SPORTS SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | J. DAVID KUPLIC President Of Fvosa 920-731-6611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2022-07-21 |