NPI | 1861899833 |
---|---|
Former Legal Business Name | NORTHEAST WISCONSIN ORTHOPEDIC ASSOCIATES SC |
Entity Type | Organization |
Authorized Contact | DENISE K STROOBANTS Credentialing Specialist 920-445-7226 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery |
Enumeration Date | 2014-11-19 |
Last Update Date | 2014-12-09 |