DoctorDataHub
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 KENOSHA, Wisconsin. NPI 1831770510 is currently active in the NPPES registry. Verify at CMS.

Interventional Vascular Surgery · KENOSHA, WI

Registration Details

NPI Number
1831770510
Provider Type
Organization
NPI Issued
Apr 15, 2021 (5.3533698988231 yrs)
Last Updated
Oct 1, 2025

Practice Information

Address
4824 GREEN BAY RD
KENOSHA, WI, 531441789
Browse WI providers · Browse ZIP 53144
Phone
2622996199
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.