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Organization

INTEGRATED SPINE CARE, S.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CLAY JAMISON FRANK MD (PRESIDENT)
(414) 988-5100
Entity
Organization

Contact information

Practice address
601 N 99TH ST, SUITE 101, WAUWATOSA, WI 53226-4339
(414) 988-5100
(414) 988-5102
Mailing address
601 N 99TH ST, SUITE 101, WAUWATOSA, WI 53226-4339
(414) 988-5100
(414) 988-5102

Taxonomy

Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
574150-9
WI

Other

Enumeration date
11/15/2005
Last updated
07/06/2011
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