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Organization

SOUTH SHORE ORTHOPEDICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CAROLYN BRINKER (BUSINESS/BILLING MGR)
(715) 682-8189
Entity
Organization

Contact information

Practice address
2101 BEASER AVE STE 1, ASHLAND, WI 54806-3632
(715) 682-8183
(715) 682-8190
Mailing address
2101 BEASER AVE STE 1, ASHLAND, WI 54806-3632
(715) 682-8183
(715) 682-8190

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000004110
RAILROAD MEDICARE
WI
05
32880200
WI
01
71214
PEFERRED ONE I.D.
WI
Enumeration date
09/20/2006
Last updated
07/02/2009
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