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

Sports Medicine Center S C

Organization Orthopaedic Surgery Physician · NPI 1093729055

Sports Medicine Center S C is an Orthopaedic Surgery Physician in Appleton, Wisconsin. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

277 Altenhofen Dr
Appleton, WI 54913-8401
Phone: (920) 993-1643
Fax: (920) 993-1645
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X

Record details

NPI number1093729055
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Etienne Mejia — Presdient · (920) 993-1643
NPI enumeratedJuly 27, 2006
Last updated in NPPESJanuary 20, 2009
Mailing address277 Altenhofen Dr, Appleton, WI 54913-8401

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