Organization
MUELLER SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOE KANEFSKY ATC (GENERAL MANAGER)
(954) 804-2825
Entity
Organization
Contact information
Practice address
1 QUENCH DR, PRAIRIE DU SAC, WI 53578-2100
(954) 804-2825
Mailing address
1 QUENCH DR, PRAIRIE DU SAC, WI 53578-2100
(954) 804-2825
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/23/2023
Last updated
10/25/2023
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