| NPI | 1235962804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD A FAIRCHILD President 715-544-1774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| 208600000X Surgery | |
| 208VP0000X Pain Medicine, Pain Medicine | |
| Enumeration Date | 2024-08-20 |
| Last Update Date | 2024-09-01 |