Organization
ORTHOPEDIC & SPINE THERAPY OF MENASHA, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL STEVEN BARNETT PT (OWNER/PRESIDENT)
(920) 257-2000
Entity
Organization
Contact information
Practice address
730 MIDWAY ROAD, MENASHA, WI 54952-1014
(920) 727-9878
(920) 727-9903
Mailing address
4000 N PROVIDENCE AVE, APPLETON, WI 54913-8018
(920) 257-2000
(920) 257-2004
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41745500
—
WI
Enumeration date
10/10/2006
Last updated
07/16/2007
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