Organization
SPORT & SPINE CLINIC LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD BINSTEIN JD (VP/AUTHORIZED OFFICIAL)
(713) 297-7000
Entity
Organization
Contact information
Practice address
1021 WESTERN AVE, SUITE B, MOSINEE, WI 54455-1529
(715) 693-7727
(715) 693-7171
Mailing address
327 N 17TH AVE STE 7, WAUSAU, WI 54401-4283
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
06/20/2006
Last updated
01/17/2022
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