| NPI | 1699778829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUSTIN JAY CROW President 715-832-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207T00000X Neurological Surgery |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: WI 54216) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2023-09-14 |