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Organization
CHIPPEWA VALLEY ORTHOPEDICS AND SPORTS MEDICINE CLINIC SC
Active
Organization
CHIPPEWA VALLEY ORTHOPEDICS AND SPORTS MEDICINE CLINIC SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUSTIN JAY CROW M.D. (PRESIDENT)
(715) 832-1400
Entity
Organization
Contact information
Practice address
1200 OAKLEAF WAY STE A, ALTOONA, WI 54720-2217
(715) 832-1400
(715) 832-4187
Mailing address
1200 OAKLEAF WAY STE A, ALTOONA, WI 54720-2217
(715) 832-1400
(715) 832-4187
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
—
NULL
207T00000X
Neurological Surgery Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
54216
WI
213ES0103X
Foot & Ankle Surgery Podiatrist
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
—
NULL
261QP2000X
Physical Therapy Clinic/Center
—
NULL
332B00000X
Durable Medical Equipment & Medical Supplies
—
WI
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100249466
—
WI
05
—
100272795
—
WI
05
—
21278700
—
WI
01
—
220399400
OWCP
WI
01
—
2416091
UNITED HEALTHCARE
WI
05
—
41741700
—
WI
01
—
542R9CH
BCBS OF MN
WI
01
—
=========
BLUE CROSS BLUE SHIELD
WI
Enumeration date
05/23/2005
Last updated
06/04/2026
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