# ORTHOPAEDIC AND SPORTS MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316261985
- **Authorized official:** DR. DANIEL M STORMONT MD (PRESIDENT)
- **Authorized official phone:** (608) 325-1900

## Contact information

- **Practice address:** 1905 5TH ST, MONROE, WI 53566-1545
- **Practice address phone:** (608) 325-1900
- **Mailing address:** 1905 5TH ST, MONROE, WI 53566-1545
- **Mailing address phone:** (608) 325-1900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 27334-20 | WI | Yes |

## Other

- **Enumeration date:** 03/25/2010
- **Last updated:** 03/25/2010