SPORTS MEDICINE CENTER S C

APPLETON, WI
NPI1093729055
Entity TypeOrganization
Authorized ContactETIENNE A MEJIA
Presdient
920-993-1643
Organization Subpart ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
Enumeration Date2006-07-27
Last Update Date2009-01-20
Business Address
SPORTS MEDICINE CENTER S C
277 ALTENHOFEN DR
APPLETON, WI 54913-8401
Phone number: 920-993-1643
Mailing Address
SPORTS MEDICINE CENTER S C
277 ALTENHOFEN DR
APPLETON, WI 54913-8401
Phone number: 920-993-1643