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Organization

DODGEVILLE ORTHOPEDICS SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DOUGLAS R PALMER MD (OWNER)
(608) 935-3339
Entity
Organization

Contact information

Practice address
833 S IOWA ST, STE 104, DODGEVILLE, WI 53533-1900
(608) 935-3339
(608) 935-1126
Mailing address
833 S IOWA ST, STE 104, DODGEVILLE, WI 53533-1900
(608) 935-3339
(608) 935-1126

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
21332700
WI
05
30748700
WI
01
545207
DEAN HEALTH INSURANCE
WI
Enumeration date
06/01/2006
Last updated
10/29/2008
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