# MIDWEST SPORTS MEDICINE INSTITUTE S.C.

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

## Provider details

- **NPI number:** 1881791010
- **Authorized official:** DR. ERIK ADAMS (PRESIDENT)
- **Authorized official phone:** (608) 831-3335

## Contact information

- **Practice address:** 2521 ALLEN BLVD, MIDDLETON, WI 53562-2211
- **Practice address phone:** (608) 831-3335
- **Practice address fax:** (608) 829-2731
- **Mailing address:** 2521 ALLEN BLVD, MIDDLETON, WI 53562-2211
- **Mailing address phone:** (608) 831-3335
- **Mailing address fax:** (608) 829-2731

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 36872-020 | WI | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 09/19/2011