# ORTHOPAEDIC ASSOCIATES OF GREEN BAY, S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285791459
- **Authorized official:** MR. STEPHEN R LAZZARI (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (920) 569-5830

## Contact information

- **Practice address:** 1630 COMMANCHE AVE, SUITE 101, GREEN BAY, WI 54313-5753
- **Practice address phone:** (920) 468-0246
- **Practice address fax:** (920) 432-9309
- **Mailing address:** 1630 COMMANCHE AVE, SUITE 101, GREEN BAY, WI 54313-5753
- **Mailing address phone:** (920) 468-0246
- **Mailing address fax:** (920) 432-9309

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | WI | Yes |

## Other

- **Enumeration date:** 01/03/2007
- **Last updated:** 07/21/2022