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Ortho Sport & Spine Physicians Of Wisconsin

Physical Medicine & Rehabilitation in Wauwatosa, WI. Organization (NPI-2).

NPI number1760190243
StatusActive
Last updated in NPPESNov 14, 2022

Details

NPI
1760190243
Entity type
Organization (NPI-2)
Legal business name
Ortho Sport & Spine Physicians Of Wisconsin
Organization subpart
No
Enumeration date
Nov 14, 2022
Certification date
Nov 14, 2022
Last updated
Nov 14, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208100000X Physical Medicine & Rehabilitation––Yes

Practice location

2500 N Mayfair Rd Ste 440
Wauwatosa, WI 53226-1415

Phone 678-752-7246

Mailing address

5788 Roswell Rd
Atlanta, GA 30328-4904

Phone 678-752-7246

Authorized official

Faith Beltzhoover
Revenue Cycle Management Director
6787527246

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