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Organization
LUNDHOLM SURGICAL GROUP LTD
Active
Organization
LUNDHOLM SURGICAL GROUP LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT R NYGUIST MD (MD)
(815) 397-6723
Entity
Organization
Contact information
Practice address
1340 CHARLES ST, ROCKFORD, IL 61104
(815) 397-4890
(815) 397-5926
Mailing address
PO BOX 4117, ROCKFORD, IL 61110-0617
(815) 397-4890
(815) 397-5926
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
03/01/2006
Last updated
08/22/2020
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