Organization
SPORT & SPINE CLINIC L P
Active
Organization
SPORT & SPINE CLINIC L P
Active
Other names
Sport & Spine
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD BINSTEIN (EVP)
(713) 297-7000
Entity
Organization
Contact information
Practice address
327 N 17TH AVE, SUITE 7, WAUSAU, WI 54401-4225
(715) 845-2942
Mailing address
PO BOX 1349, WAUSAU, WI 54402-1349
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/10/2007
Last updated
09/10/2021
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