| NPI | 1750736120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE SCHROEDER Credentialing 715-997-9813 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine |
| 207XX0005X Orthopaedic Surgery Sports Medicine | |
| 213ES0103X Podiatrist Foot & Ankle Surgery | |
| 2251X0800X Physical Therapist Orthopedic | |
| 225X00000X Occupational Therapist | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2025-04-14 |