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Organization

ORTHOPEDIC & SPORTS MEDICINE SPECIALISTS OF GREEN BAY, SC

Active
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Organization

ORTHOPEDIC & SPORTS MEDICINE SPECIALISTS OF GREEN BAY, SC

Active
Parent organization
ORTHOPEDIC & SPORTS MEDICINE SPECIALISTS OF GREEN BAY, SC
Organization subpart
Yes

Provider details

NPI number
Legal business name
ORTHOPEDIC & SPORTS MEDICINE SPECIALISTS OF GREEN BAY, SC
Authorized official
SANDY FRAGALE (CEO)
(920) 965-9520
Entity
Organization

Contact information

Practice address
200 S OAKWOOD RD, OSHKOSH, WI 54904-7900
(920) 430-8113
Mailing address
2223 LIME KILN RD STE 1, GREEN BAY, WI 54311-6238
(920) 430-8113

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
06/29/2026
Last updated
06/29/2026
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