DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MCDONOUGH ORTHOPAEDIC AND SPORTS MEDICINE CENTER SC

MEDICARE: MCDONOUGH ORTHOPAEDIC AND SPORTS MEDICINE CENTER SC
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
1261QP2000XPhysical Therapy Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750374575
Entity Type Code : Organization
Provider Name (Legal Business Name) : MCDONOUGH ORTHOPAEDIC AND SPORTS MEDICINE CENTER SC
Provider Business Mailing Address
First Line : PO BOX 8075
Second Line :
City : WISCONSIN RAPIDS
State : WI
Zip : 54495-8075
Country : US
Telephone Number : 715-421-5255
Fax Number : 715-421-0111
Provider Business Practice Location Address
First Line : 410 DEWEY ST
Second Line :
City : WISCONSIN RAPIDS
State : WI
Zip : 54494-4715
Country : US
Telephone Number : 715-421-5257
Fax Number : 715-421-0111
Authorized Official
Title or Position : VICE PRESIDENT
Name : MR. WAYNE R CHRISTIE
Credential : MD
Telephone Number : 715-421-5257
Provider Enumeration Date : 08/26/2005
Last Update Date : 08/06/2010

Similar Medicare Providers

1073506838 — MCDONOUGH ORTHOPAEDIC AND SPORTS MEDICINE CENTER SC
Practice Location Address:
410 DEWEY ST
WISCONSIN RAPIDS, WI
54494-4715
Practice Phone: 715-421-5257
Practice Fax: 715-421-0111
1609869460 — MCDONOUGH ORTHOPAEDIC AND SPORTS MEDICINE CENTER SC
Practice Location Address:
410 DEWEY ST
WISCONSIN RAPIDS, WI
54494-4715
Practice Phone: 715-421-5257
Practice Fax: 715-421-0111
1073595724 — MR. DANIEL JOSEPH KEARNEY LAT
Practice Location Address:
410 DEWEY ST
WISCONSIN RAPIDS, WI
54494-4715
Practice Phone: 715-421-5257
Practice Fax: 715-421-0111
1033191663 — MRS. TAMMY LYNN REICHENBACHER LAT
Practice Location Address:
410 DEWEY ST
WISCONSIN RAPIDS, WI
54494-4715
Practice Phone: 715-421-5257
Practice Fax: 715-421-0111
1528042041 — MRS. AMY ELIZABETH GUNDERSON LICENSED ATHLETIC TR
Practice Location Address:
410 DEWEY ST
WISCONSIN RAPIDS, WI
54494-4715
Practice Phone: 715-421-5257
Practice Fax: 715-421-0111
1982688347 — DR. GREGORY S NAZE M.D.
Practice Location Address:
410 DEWEY ST
WISCONSIN RAPIDS, WI
54494-4715
Practice Phone: 715-423-8080
Practice Fax:

Directions to “MCDONOUGH ORTHOPAEDIC AND SPORTS MEDICINE CENTER SC ” Practice Location

Language Start Address Practice Location
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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.