NPI | 1295717445 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSHUA M GERSHTENSON Partner 262-764-5595 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery |
Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine |
207XS0106X Orthopaedic Surgery, Hand Surgery | |
207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery | |
207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine | |
207XX0005X Orthopaedic Surgery, Sports Medicine | |
208100000X Physical Medicine & Rehabilitation | |
208VP0014X Pain Medicine, Interventional Pain Medicine | |
332B00000X Durable Medical Equipment & Medical Supplies | |
Enumeration Date | 2005-11-15 |
Last Update Date | 2024-11-12 |