Organization
DECESARE ORTHOPEDIC CLINIC SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM F DECESARE MD (CEO)
(715) 839-8399
Entity
Organization
Contact information
Practice address
3213 STEIN BLVD, EAU CLAIRE, WI 54701
(715) 839-8399
(715) 839-9953
Mailing address
3213 STEIN BLVD, EAU CLAIRE, WI 54701
(715) 839-8399
(715) 839-9953
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
20727020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30120400
—
WI
Enumeration date
05/18/2006
Last updated
04/20/2008
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