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Individual

RORY R WRIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
525 W RIVER WOODS PKWY STE 100, GLENDALE, WI 53212-1010
(414) 332-6262
(414) 332-0422
Mailing address
575 W RIVER WOODS PKWY, STE 100, GLENDALE, WI 53212-1058
(414) 332-6262
(414) 332-0422

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
30707
WI
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
30707
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
200022953
RAILROAD MEDICARE
05
32005000
WI
Enumeration date
06/08/2005
Last updated
07/28/2019
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