# SHEBOYGAN ORTHOPAEDIC ASSOCIATES SC

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

## Provider details

- **NPI number:** 1508936642
- **Authorized official:** D SCOTT SELLINGER MD (PARTNER OFFICER 5 PER OR MORE OWNER)
- **Authorized official phone:** (920) 458-3791

## Contact information

- **Practice address:** 2920 SUPERIOR AVENUE, SHEBOYGAN, WI 53081
- **Practice address phone:** (920) 458-3791
- **Practice address fax:** (920) 458-3783
- **Mailing address:** 2920 SUPERIOR AVENUE, SHEBOYGAN, WI 53081
- **Mailing address phone:** (920) 458-3791
- **Mailing address fax:** (920) 458-3783

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 11/08/2006
- **Last updated:** 08/19/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 32750800 | — | WI |