Organization
UNIVERSITY OF WISCONSIN SYSTEM NON PAYROLL
Active
Other names
UNIVERSITY OF WISCONSIN OSHKOSH SPORTS MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MAUREEN A GRUNDUSKI (BILLER)
(313) 593-0899
Entity
Organization
Contact information
Practice address
800 ALGOMA BLVD, KOLF SPORTS CENTER 169, OSHKOSH, WI 54901-3551
(920) 424-7142
Mailing address
800 ALGOMA BLVD, KOLF SPORTS CENTER 169, OSHKOSH, WI 54901-3551
(920) 424-7142
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
01/14/2009
Last updated
12/04/2024
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