# OAW ASC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Orthopedic Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164572863
- **Authorized official:** MR. MARK E. SMITH SPHR (CHIEF ADMINISTRATIVE OFFICER)
- **Authorized official phone:** (262) 650-7406

## Contact information

- **Practice address:** 1111 DELAFIELD ST, WAUKESHA, WI 53188-3417
- **Practice address phone:** (262) 650-7406
- **Practice address fax:** (262) 544-6820
- **Mailing address:** W 238 - N 1610 BUSSE RD., PEWAUKEE, WI 53072
- **Mailing address phone:** (262) 650-7406
- **Mailing address fax:** (262) 544-6820

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | WI | Yes |

## Other

- **Enumeration date:** 01/12/2007
- **Last updated:** 08/22/2020