Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Premier Spine Group, SC

Organization Pain Medicine (Anesthesiology) Physician · NPI 1235962804

Premier Spine Group, SC is a Pain Medicine (Anesthesiology) Physician in Stevens Point, Wisconsin. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
5

Practice location Address checks out

200 Division St Ste J
Stevens Point, WI 54481-1843
Phone: (715) 544-1774
Fax: (715) 544-1772
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery of the Spine Physician (primary) Taxonomy 207XS0117X
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081P2900X
Surgery Physician Taxonomy 208600000X
Pain Medicine Physician Taxonomy 208VP0000X

Record details

NPI number1235962804
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Todd Fairchild — President · (715) 544-1774
NPI enumeratedAugust 20, 2024
Last updated in NPPESSeptember 1, 2024
Certification dateSeptember 1, 2024
Mailing address520 Vincent St, Stevens Point, WI 54481-1848

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