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Spine Center Of Wisconsin Sc
Durable Medical Equipment & Medical Supplies in Milwaukee, Wisconsin
NPI 1467561506

Spine Center Of Wisconsin Sc is a Durable Medical Equipment & Medical Supplies based in Franklin, WI. Spine Center Of Wisconsin Sc practices in Milwaukee, WI. The NPI Number for Spine Center Of Wisconsin Sc is 1467561506 and holds a License No. 19042 (Wisconsin).

The current practice location address for Spine Center Of Wisconsin Sc is 2801 W Kinnickinnic River Pkwy Ste 355, Milwaukee, WI and can be reached out via phone at 414-235-3623 and via fax at 414-235-3623.

Location: 2801 W Kinnickinnic River Pkwy Ste 355, Milwaukee, WI, 53132
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1467561506
Provider Name
Spine Center Of Wisconsin Sc
Credential
Provider Entity Type
Organization
Address
2801 W Kinnickinnic River Pkwy Ste 355, Milwaukee, WI, 53132
Phone Number
414-235-3623
Fax Number
414-235-3623
Provider Enumeration Date
08/30/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30876700 05 WI
institution
Provider Business Practice Location Address Details
Address
2801 W Kinnickinnic River Pkwy Ste 355
City
Milwaukee
State
Wisconsin
Zip
53215-3695
Phone Number
414-235-3623
Fax Number
414-235-3623
person
Provider Business Mailing Address Details
Address
2801 W Kinnickinnic River Pkwy Ste 355
City
Milwaukee
State
Wisconsin
Zip
53215-3695
Phone Number
414-235-3623
Fax Number
414-235-3623
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology
Taxonomy
261QR0200X
License No.
XM39276 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
19042 (Wisconsin)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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