| 605 Sport And Spine | |
|
2212 Division St Stevens Point WI 54481-3661 | |
| (715) 544-6364 | |
| Not Available |
| Full Name | 605 Sport And Spine |
|---|---|
| Speciality | Clinic/center |
| Location | 2212 Division St, Stevens Point, Wisconsin |
| Authorized Official Name and Position | Tanner G Ozanne (OWNER) |
| Authorized Official Contact | 7155446364 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 605 Sport And Spine 2212 Division St Stevens Point WI 54481-3661 Ph: (715) 544-6364 | 605 Sport And Spine 2212 Division St Stevens Point WI 54481-3661 Ph: (715) 544-6364 |
| NPI Number | 1235776691 |
|---|---|
| Provider Enumeration Date | 12/04/2019 |
| Last Update Date | 09/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235776691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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