Random Lake Spine & Sports Clinic
Random Lake Spine & Sports Clinic provides Clinic/Center services in Random Lake, Wisconsin. Registered with an NPI since 2008.
- In the registry since
- 2008
Practice location Address checks out
321 Carroll StRandom Lake, WI 53075 Not confirmed with CMS for 18 years — call before visiting
Phone: (920) 994-2000
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X |
|---|
Record details
| NPI number | 1659543205 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jason Rudelich — President · (920) 994-2000 |
| NPI enumerated | March 24, 2008 |
| Last updated in NPPES | June 2, 2008 |
| Mailing address | Po Box 196, Random Lake, WI 53075-0196 |
Other providers in Random Lake
-
Prohealth Chiropractic Center SC
321 Carroll St, Random Lake, WI 53075-1813 · (920) 994-2000