Organization
CHIPPEWA VALLEY ORTHOPEDICS AND SPORTS MEDICINE CLINIC, SC
Active
Parent organization
CHIPPEWA VALLEY ORTHOPEDICS AND SPORTS MEDICINE CLINIC, SC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHIPPEWA VALLEY ORTHOPEDICS AND SPORTS MEDICINE CLINIC, SC
Authorized official
AUSTIN J CROW MD (PRESIDENT)
(715) 832-1400
Entity
Organization
Contact information
Practice address
2200 CEDAR CREST DR STE A, RICE LAKE, WI 54868-5500
(715) 832-1400
(715) 832-4187
Mailing address
1200 OAKLEAF WAY STE A, ALTOONA, WI 54720-2217
(715) 832-1400
(715) 832-4187
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/28/2023
Last updated
12/04/2023
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