# M ORTHO, SC

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

## Provider details

- **NPI number:** 1295127298
- **Authorized official:** DR. KRISTEN MASKALA M.D. (OWNER)
- **Authorized official phone:** (262) 641-3700

## Contact information

- **Practice address:** W62 N179 WASHINGTON AVE, SUITE 3, CEDARBURG, WI 53012-2726
- **Practice address phone:** (262) 641-3700
- **Mailing address:** PO BOX 410, BROOKFIELD, WI 53008-0410

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 41376 | WI | Yes |

## Other

- **Enumeration date:** 02/27/2015
- **Last updated:** 02/27/2015