| NPI | 1336733534 |
|---|---|
| Former Legal Business Name | MIDWEST SPINAL CENTER SC |
| Entity Type | Organization |
| Authorized Contact | JAMES E STOLL President 414-807-6128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2021-02-27 |
| Last Update Date | 2021-02-27 |