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Organization

WNY KNEE AND ORTHOPEDIC SURGERY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEITH C STUBE MD (MD)
(716) 839-5858
Entity
Organization

Contact information

Practice address
180 PARK CLUB LANE, SUITE 225, WILLIAMSVILLE, NY 14221
(716) 839-5858
(716) 839-5925
Mailing address
180 PARK CLUB LANE, SUITE 225, WILLIAMSVILLE, NY 14221
(716) 839-5858
(716) 839-5925

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Enumeration date
12/11/2014
Last updated
01/03/2020
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