Organization
SPORT & SPINE CLINIC LP
Active
Other names
Sport & Spine-Rib Mountain
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD BINSTEIN (VP/AUTHORIZED OFFICIAL)
(713) 297-7000
Entity
Organization
Contact information
Practice address
226831 RIB MOUNTAIN DR, WAUSAU, WI 54401-3350
(715) 359-2500
(715) 359-2588
Mailing address
226831 RIB MOUNTAIN DR, WAUSAU, WI 54401-3350
(715) 359-2500
(715) 359-2588
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/30/2009
Last updated
03/03/2020
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