Family & Sports Orthopaedic Center, Llc in Waupun WI

Family & Sports Orthopaedic Center, Llc is an orthopedic surgery with a current address of 620 W Brown St Waupun WI 53963-1702. The NPI is 1649430380, and the license number is (). It was issued on 06/16/2008. The primary taxonomy code for the clinic is 207X00000X. The provider is registered as an organization, and the NPI number was last updated on 06/16/2008.

 

Family & Sports Orthopaedic Center, Llc can be reached by phone at 9203561000, by mail at 118 W Maple Ave Beaver Dam WI 53916-2104, or by fax at 9203560719.

 

Cindy Duerst (Office Manager) is the authorized representative of the organization and can be reached at this phone number: 9203561000.

Name: Family & Sports Orthopaedic Center, Llc

Specialization: Orthopedic Surgery

Provider Entity Type: Organization

Is Organization Subpart: No

Authorized Name: Cindy Duerst

Authorized Title/Position: Office Manager

Contact Number: 9203561000

 

Practice Location Address:

620 W Brown St

Waupun

WI 53963-1702

Telephone Number: 9203561000

Fax Number: 9203560719

Mailing Address:

118 W Maple Ave

Beaver Dam

WI 53916-2104

Telephone Number: 9203561000

Fax Number: 9203560719

 

NPI is an abbreviation for National Provider Identifier. The NPI is a unique 10-digit identification number. The NPI number does not contain personally identifiable information, such as a provider’s specialty or location. The NPI is assigned to individuals or organizations for their lifetime and is unaffected by updates to key provider information, such as a change in practice, location, or specialty.

NPI Number: 1649430380

Enumeration Date: 06/16/2008

Last Update: 06/16/2008

 

The NPI record includes the health care provider’s taxonomy classification, state license number, and state of licensure. Health care providers choose their own taxonomy codes. Their specialty is determined by their level of education and training. The taxonomy codes do not indicate what services the healthcare provider provides. The levels of the code set are organized in such a way that it is possible to navigate from the generic classification to the most specific level of specialization of a provider.

Primary Taxonomy Code: 207X00000X

License Number:

License State:

 

Taxonomy Group: 193400000x Single Specialty Group

 

Other Taxonomy (if any):

 

Providers may hold one or more medical licenses in the same state or in different states for different specialties.

Identifier: 11801

Code Type: 1

Identifier State: WI

Identifier Issuer: Dean Care

 

Other Identifiers (if any):

15104

1

WI

DEAN CARE