Organization
SPINE SOLUTIONS OF WEST BEND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY ASHTON SCARLETT (MD)
(608) 710-8162
Entity
Organization
Contact information
Practice address
1000 GATEWAY CT STE 200, WEST BEND, WI 53095-8541
(920) 204-6758
Mailing address
DEPT CH 18045, PALATINE, IL 60055-8045
(920) 204-6758
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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