NPI 1801991468
Osteopathic Medicine & Physical Therapy Grp of Northeast Wisconsin
Practice location
- Address
- 1010 S Oneida St, Appleton, WI 54915-7802
- Phone
- (920) 733-7726
- Fax
- (920) 733-2109
- Mailing address
- 626 E Longview Dr STE B, Appleton, WI 54911-2149
Authorised official
- Name
- James Edward Marotz
- Title
- President
- Phone
- (920) 733-7726
Registered specialties
Neuromusculoskeletal Medicine & OMM Physician
Primary
Registry record
- NPI
- 1801991468
- Entity type
- Organization
- NPI issued
- 14 Sep 2006
- Record last updated
- 21 Jul 2022
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.