Organization
ORTHOPAEDIC AND SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL M STORMONT MD (PRESIDENT)
(608) 325-1900
Entity
Organization
Contact information
Practice address
1905 5TH ST, MONROE, WI 53566-1545
(608) 325-1900
Mailing address
1905 5TH ST, MONROE, WI 53566-1545
(608) 325-1900
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
27334-20
WI
Other
Enumeration date
03/25/2010
Last updated
03/25/2010
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