Organization
NORTHWOODS FAMILY ORTHOPAEDICS, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK BALAS M.D., B.C. (OWNER/PRESIDENT)
(715) 561-4795
Entity
Organization
Contact information
Practice address
502 COPPER ST, SUITE 5, HURLEY, WI 54534-1385
(715) 561-4795
(715) 561-4796
Mailing address
502 COPPER ST, SUITE 5, HURLEY, WI 54534-1385
(715) 561-4795
(715) 561-4796
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103428375
—
MI
05
—
32226100
—
WI
Enumeration date
05/03/2016
Last updated
05/03/2016
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