Organization
MCDONOUGH ORTHOPAEDIC AND SPORTS MEDICINE CENTER SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WAYNE R CHRISTIE MD (VICE PRESIDENT MCDONOUGH ORTHOPAEDI)
(715) 421-5257
Entity
Organization
Contact information
Practice address
410 DEWEY ST, WISCONSIN RAPIDS, WI 54494-4715
(715) 421-5257
(715) 421-0111
Mailing address
PO BOX 8075, WISCONSIN RAPIDS, WI 54495-8075
(715) 421-5257
(715) 421-0111
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/20/2006
Last updated
09/27/2011
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