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Organization
WISCONSIN SPORTS MEDICINE AND ORTHOPEDICS,S.C.
Active
Organization
WISCONSIN SPORTS MEDICINE AND ORTHOPEDICS,S.C.
Active
Other names
Northeast Wisconsin Orthopedic Associates SC
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE K STROOBANTS (CREDENTIALING SPECIALIST)
(920) 445-7226
Entity
Organization
Contact information
Practice address
820 ARBUTUS AVE, OCONTO, WI 54153-2004
(920) 593-5555
(920) 835-1099
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7226
(920) 445-7229
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
11/19/2014
Last updated
12/09/2014
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