| NPI | 1710213673 |
|---|---|
| Doing Business As | ORTHOPEDIC SPORTS ENHANCEMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | WILLIAM BROUWER President,Physician Mgmnt Corp 309-268-2129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0010X Internal Medicine, Sports Medicine |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2009-10-28 |