Organization
BRANHAM HEALY ORTHOPEDIC CLINIC SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER V BRANHAM M.D. (PRESIDENT)
(715) 234-9018
Entity
Organization
Contact information
Practice address
1035 N MAIN ST, RICE LAKE, WI 54868-1260
(715) 234-9018
(715) 236-7535
Mailing address
1035 N MAIN ST, RICE LAKE, WI 54868-1260
(715) 234-9018
(715) 236-7535
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
18880
WI
Other
Enumeration date
11/13/2006
Last updated
08/22/2020
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