| NPI | 1902850696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYNE E JANIKOWSKI Patient Access Manager 715-359-6442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 207XS0106X Orthopaedic Surgery, Hand Surgery | |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery | |
| 208100000X Physical Medicine & Rehabilitation | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| 225100000X Physical Therapist | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 363AS0400X Physician Assistant, Surgical | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2024-06-17 |