| NPI | 1104193937 |
|---|---|
| Doing Business As | MIDWEST ORTHOPEDICS & SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY Y KO CFO 937-558-3208 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| 213E00000X Podiatrist | |
| 213ES0000X Podiatrist, Sports Medicine | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2011-11-22 |
| Last Update Date | 2016-09-12 |