| NPI | 1831144567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN RUSSELL LINDSTROM Md/Owner 920-739-5755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WI 22441) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2020-08-22 |