Organization
WISCONSIN SPORTS MEDICINE AND ORTHOPEDICS,S.C.
Active
Other names
Northeast Wisconsin Orthopedic Associates SC
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE K STROOBANTS (CREDENTIALING SPECIALIST)
(920) 445-7226
Entity
Organization
Contact information
Practice address
820 ARBUTUS AVE, OCONTO, WI 54153-2004
(920) 593-5555
(920) 835-1099
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7226
(920) 445-7229
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
11/19/2014
Last updated
12/09/2014
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