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Organization
DODGEVILLE ORTHOPEDICS SC
Active
Organization
DODGEVILLE ORTHOPEDICS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS R PALMER MD (OWNER)
(608) 935-3339
Entity
Organization
Contact information
Practice address
833 S IOWA ST, STE 104, DODGEVILLE, WI 53533-1900
(608) 935-3339
(608) 935-1126
Mailing address
833 S IOWA ST, STE 104, DODGEVILLE, WI 53533-1900
(608) 935-3339
(608) 935-1126
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NULL
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21332700
—
WI
05
—
30748700
—
WI
01
—
545207
DEAN HEALTH INSURANCE
WI
Enumeration date
06/01/2006
Last updated
10/29/2008
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