Organization Name: | NORTHWOODS FAMILY ORTHOPAEDICS, S.C. |
NPI Number: | 1043665508 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARK BALAS (OWNER/PRESIDENT) |
Mailing Address: | 502 Copper St Suite 5 Hurley |
State: | WI US |
Postal Code: | 545341385 |
Phone Number: | 7155614795 |
Fax Number: | 7155614796 |
NPI Enumeration Date: | 05/03/2016 |
NPI Last Update Date: | 05/03/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy 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 |