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Organization

ORTHOPEDIC & SPINE THERAPY OF STURGEON BAY, SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAUL STEVEN BARNETT P.T. (OWNER/PRESIDENT)
(920) 257-2000
Entity
Organization

Contact information

Practice address
228 N 14TH AVE, STURGEON BAY, WI 54235-1318
(920) 746-3180
(920) 746-3182
Mailing address
4000 N PROVIDENCE AVE, APPLETON, WI 54913-8018
(920) 257-2000
(920) 257-2004

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
41572200
WI
Enumeration date
07/24/2008
Last updated
11/25/2008
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