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OS

ORTHOPEDIC SURGERY CENTER OF GREEN BAY, LLC

Adult Day Care

OIG CLEARNPI VERIFIEDMEDICARE ACTIVE
Location
GREEN BAY, WI
Licensed since
2009
Rate
Federal identifiers
NPI registry number1922334101
Agency details
Medicare activity
StatusActive — enrolled to order & refer
Medicare patients449
RevalidationDue 2024-04-30
Authorized official
NameSANDY FRAGALE
TitleCHAIRMAN OF THE BOARD
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