| NPI | 1770032765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD A. FAIRCHILD President 715-544-1775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: WI 51622) |
| Enumeration Date | 2016-10-01 |
| Last Update Date | 2024-07-05 |