# ORTHOPAEDIC & SPORTS MEDICINE CLINIC

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

## Provider details

- **NPI number:** 1740468693
- **Authorized official:** DANIEL M STORMONT MD (PRESIDENT)
- **Authorized official phone:** (608) 776-4466

## Contact information

- **Practice address:** 800 CLAY ST, DARLINGTON, WI 53530-1228
- **Practice address phone:** (608) 776-4466
- **Mailing address:** 800 CLAY ST, DARLINGTON, WI 53530-1228
- **Mailing address phone:** (608) 776-4466

## Taxonomy

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

## Other

- **Enumeration date:** 02/02/2008
- **Last updated:** 11/16/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1598782039 | NPI | — |