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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MIDWEST SPORTS AND INTERVENTIONAL SPINE SC

Active Organization

MIDWEST SPORTS AND INTERVENTIONAL SPINE SC is a Interventional Vascular Surgery organization located in LAKE GENEVA, Wisconsin. NPI 1740154947 is currently active in the NPPES registry. Verify at CMS.

Interventional Vascular Surgery · LAKE GENEVA, WI

Registration Details

NPI Number
1740154947
Provider Type
Organization
NPI Issued
Oct 1, 2025 (0.88905906390928 yrs)
Last Updated
Oct 1, 2025

Practice Information

Address
850 GENEVA PKWY N STE 100
LAKE GENEVA, WI, 531474562
Browse WI providers · Browse ZIP 53147
Phone
2622996199
Fax
2622936953
Primary Specialty
Interventional Vascular Surgery
208VP0014X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.