NPI 1093729055

Sports Medicine Center S C

Organisation Orthopaedic Surgery Physician Appleton, WI

Practice location

Address: 277 Altenhofen Dr, Appleton, WI 54913-8401
Phone: (920) 993-1643
Fax: (920) 993-1645

Authorised official

Name: Etienne a Mejia
Title: Presdient
Phone: (920) 993-1643

Registered specialties

Orthopaedic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207X00000X

Other Orthopaedic Surgery providers in Wisconsin →

Registry record

NPI: 1093729055
Entity type: Organization
NPI issued: 27 Jul 2006
Record last updated: 20 Jan 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.