Organization
ORTHOPAEDIC & SPORTS MEDICINE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL M STORMONT MD (PRESIDENT)
(608) 776-4466
Entity
Organization
Contact information
Practice address
800 CLAY ST, DARLINGTON, WI 53530-1228
(608) 776-4466
Mailing address
800 CLAY ST, DARLINGTON, WI 53530-1228
(608) 776-4466
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
27334
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1598782039
NPI
—
Enumeration date
02/02/2008
Last updated
11/16/2015
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