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Organization
OAW ASC, LLC
Active
Organization
OAW ASC, LLC
Active
Other names
The Orthopedic Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK E. SMITH SPHR (CHIEF ADMINISTRATIVE OFFICER)
(262) 650-7406
Entity
Organization
Contact information
Practice address
1111 DELAFIELD ST, WAUKESHA, WI 53188-3417
(262) 650-7406
(262) 544-6820
Mailing address
W 238 - N 1610 BUSSE RD., PEWAUKEE, WI 53072
(262) 650-7406
(262) 544-6820
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
WI
Other
Enumeration date
01/12/2007
Last updated
08/22/2020
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