# SUMMIT ORTHOPEDICS, LTD

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

## Provider details

- **NPI number:** 1306899463
- **Authorized official:** JOHN BIEN (CFO)
- **Authorized official phone:** (651) 968-5870

## Contact information

- **Practice address:** 710 COMMERCE DR STE 200, WOODBURY, MN 55125
- **Practice address phone:** (651) 968-5042
- **Practice address fax:** (651) 968-5904
- **Mailing address:** 710 COMMERCE DR STE 200, WOODBURY, MN 55125-4925
- **Mailing address phone:** (651) 968-5200
- **Mailing address fax:** (651) 968-5904

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 2251X0800X | Orthopedic Physical Therapist | — | NULL | — |
| 2251X0800X | Orthopedic Physical Therapist | — | — | — |
| 225XH1200X | Hand Occupational Therapist | — | NULL | — |
| 225XH1200X | Hand Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 05/18/2006
- **Last updated:** 06/10/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 352813800 | — | MN |
| 01 | — | CP5327 | RAILROAD MEDICARE | MN |