Mcdonough Orthopaedic And Sports Medicine Center Sc

LBN: Mcdonough Orthopaedic And Sports Medicine Center Sc
Mcdonough Orthopaedic And Sports Medicine Center Sc is an health care organization with primary practice located at 410 Dewey St , Wisconsin Rapids WI 54494-4715. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is the primary health care specialty. Mcdonough Orthopaedic And Sports Medicine Center Sc can be contacted via phone (715) 421-5257, or through Christie, Wayne R via phone (715) 421-5257.

Contact Information

Primary practice address
410 Dewey St Wisconsin Rapids WI 54494-4715
Phone: (715) 421-5257
Fax: (715) 421-0111
Website:
Map and Directions
Authorized official contact:
Name: Christie, Wayne R Doctor of Medicine (MD)
Phone: (715) 421-5257

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X Wisconsin
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X

Profile Details

NPI number 1609869460
LBN Legal business name Mcdonough Orthopaedic And Sports Medicine Center Sc
DBA Doing business as
Authorized official Christie, Wayne R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 26th, 2005
Last updated Mar 5th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609869460 NPPES
Wisconsin MEDICAID 32685600

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