| NPI | 1811936248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS SUNIL THOMAS Owner 715-858-0320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: WI 37931) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WI 37931) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2010-12-21 |