| NPI | 1922142777 |
|---|---|
| Doing Business As | WAGON CIRCLE ORTHOPEDIC CLINIC |
| Entity Type | Organization |
| Authorized Contact | MICHELLE KEPLINGER CFO 307-324-8347 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WY 5186A) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2017-06-15 |