ORTHOPEDIC & SPINE THERAPY OF MENASHA, SC
Medical Equipment Supplier Yellow Pages
Kaukauna, Wisconsin
Provider NPI: 1871665364
Organization Information:Organization Name: ORTHOPEDIC & SPINE THERAPY OF MENASHA, SC
Practice Location:
1901 CROOKS AVE SUITE B KAUKAUNA, WI 54130 US
Tel: 920-759-9075 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1901 CROOKS AVE SUITE B KAUKAUNA, WI 54130 US
Tel: 920-759-9075 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 332B00000X | Suppliers Durable Medical Equipment & Medical Supplies |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
41566000 | WI | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin