Random Lake Spine & Sports Clinic - Random Lake, WI

Random Lake Spine & Sports Clinic

Clinic/Center in Random Lake, Wisconsin

NPI 1659543205

Random Lake Spine & Sports Clinic is a Clinic/Center based in Random Lake, WI. Random Lake Spine & Sports Clinic practices in Random Lake, WI. The NPI Number for Random Lake Spine & Sports Clinic is 1659543205 and holds a License No. (Wisconsin).

The current practice location address for Random Lake Spine & Sports Clinic is 321 Carroll St., Random Lake, WI and can be reached out via phone at 920-994-2000.

Location: 321 Carroll St., Random Lake, WI, 53075-0196

NPI Number

1659543205

Provider Name

Random Lake Spine & Sports Clinic

Credential

Provider Entity Type

Organization

Address

321 Carroll St., Random Lake, WI, 53075-0196

Phone Number

920-994-2000

Fax Number

Provider Enumeration Date

03/24/2008

Last Update Date

03/09/2024

Address

321 Carroll St.

City

Random Lake

State

Wisconsin

Zip

53075

Phone Number

920-994-2000

Fax Number

Address

321 Carroll St.

City

Random Lake

State

Wisconsin

Zip

53075

Phone Number

920-994-2000

Fax Number

Type

Ambulatory Health Care Facilities

Classification

Clinic/Center

Speciality

Taxonomy

261Q00000X

License No.

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Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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