is a Sports Medicine in Appleton, Wisconsin. practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for is 1093972754. The last update date is .
's current location address is 2801 E Enterprise Ave Ste 205, Appleton, Wisconsin. You can contact this provider via phone number 9209689311 and fax number 9203057411. The mailing address for is 2801 E Enterprise Ave Ste 205, Appleton, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 2801 E Enterprise Ave Ste 205, Appleton, Wisconsin |
| Phone Number | 9209689311 |
| Fax Number | 9203057411 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1093972754 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 2801 E Enterprise Ave Ste 205 |
|---|---|
| City | Appleton |
| State | Wisconsin (WI) |
| Post Code | 549138559 |
| Phone Number | 9209689311 |
| Fax Number | 9203057411 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 2081S0010X |
| Licence No | 40852 |
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Definition: A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of |
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