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1093729055
SPORTS MEDICINE CENTER S C
APPLETON, WI
NPI
1093729055
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Entity Type
Organization
Authorized Contact
ETIENNE A MEJIA
Presdient
920-993-1643
Organization Subpart ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
Enumeration Date
2006-07-27
Last Update Date
2009-01-20
Business Address
SPORTS MEDICINE CENTER S C
277 ALTENHOFEN DR
APPLETON, WI 54913-8401
Phone number: 920-993-1643
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Mailing Address
SPORTS MEDICINE CENTER S C
277 ALTENHOFEN DR
APPLETON, WI 54913-8401
Phone number: 920-993-1643
Copy
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