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Organization

WISCONSIN RIVER ORTHOPAEDICS, LTD.

Active
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Organization

WISCONSIN RIVER ORTHOPAEDICS, LTD.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROGER P DILLON (PRACTICE ADMINISTRATOR)
(715) 424-1881
Entity
Organization

Contact information

Practice address
140 24TH ST S, WISCONSIN RAPIDS, WI 54494-1906
(715) 424-1881
(715) 423-1602
Mailing address
PO BOX 8005, WISCONSIN RAPIDS, WI 54495-8005
(715) 424-1881
(715) 423-1602

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—

Other

Enumeration date
05/20/2006
Last updated
03/10/2009
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