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NPI Code Detail

MEDICARE: HAND TO SHOULDER CENTER OF WISCONSIN, LTD.

MEDICARE: HAND TO SHOULDER CENTER OF WISCONSIN, LTD.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist
2207X00000XOrthopaedic Surgery Physician
3225100000XPhysical Therapist
4225X00000XOccupational Therapist
5363A00000XPhysician Assistant
6332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1588312482
Entity Type Code : Organization
Provider Name (Legal Business Name) : HAND TO SHOULDER CENTER OF WISCONSIN, LTD.
Provider Business Mailing Address
First Line : 2323 N CASALOMA DR
Second Line :
City : APPLETON
State : WI
Zip : 54913-8284
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1551 PARK PL STE 100
Second Line :
City : GREEN BAY
State : WI
Zip : 54304-1969
Country : US
Telephone Number : 920-730-8833
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : TINA MARIE SAUER
Credential :
Telephone Number : 920-730-8833
Provider Enumeration Date : 03/10/2022
Last Update Date : 03/10/2022

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Directions to “HAND TO SHOULDER CENTER OF WISCONSIN, LTD. ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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