Sports Medicine Center S C in Appleton - Orthopaedic Surgery
Sports Medicine Center S C - NPI 1093729055
Sports Medicine Center S C is a Orthopaedic Surgery in Appleton, Wisconsin. Sports Medicine Center S C practices all healthcare services and medical treatments related to Orthopaedic Surgery. The NPI Number for Sports Medicine Center S C is 1093729055. The last update date is 2009-01-20.
Sports Medicine Center S C's current location address is 277 Altenhofen Dr, Appleton, Wisconsin. You can contact this provider via phone number 9209931643 and fax number 9209931645. The mailing address for Sports Medicine Center S C is 277 Altenhofen Dr, Appleton, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Sports Medicine Center S C |
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Address | 277 Altenhofen Dr, Appleton, Wisconsin |
Phone Number | 9209931643 |
Fax Number | 9209931645 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESDIENT |
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Authorized Official Name | Mejia A Etienne |
Credentials | M.D. |
Telephone Number | 9209931643 |
NPI Number Detail
NPI Number | 1093729055 |
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Provider Enumeration Date | 2006-07-27 |
Last Updated Date | 2009-01-20 |
Provider Mailing Address Detail
Address | 277 Altenhofen Dr |
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City | Appleton |
State | Wisconsin (WI) |
Post Code | 549138401 |
Phone Number | 9209931643 |
Fax Number | 9209931645 |
Provider's Primary Taxonomy Detail
Speciality | Orthopaedic Surgery |
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Taxonomy | 207X00000X |
Definition: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the car |
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What is the unique 10-digit identification code assigned to Sports Medicine Center S C by the Centers for Medicare & Medicaid Services?
The Sports Medicine Center S C has been issued the NPI (National Provider Identifier) 1093729055, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Sports Medicine Center S C is physically located?
The Sports Medicine Center S C is physically situated at the following address: 277 Altenhofen Dr, Appleton, WI, 549138401.
What is Sports Medicine Center S C's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Sports Medicine Center S C's specialized field of practice is Orthopaedic Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 207X00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1093729055 to Sports Medicine Center S C?
The Centers for Medicare & Medicaid Services originally issued the 1093729055 to Sports Medicine Center S C on 2006-07-27.
As of what date was the information regarding Sports Medicine Center S C, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Sports Medicine Center S C, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-01-20.
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