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Organization
BLOUNT ORTHOPAEDIC ASSOCIATES, S.C.
Active
Organization
BLOUNT ORTHOPAEDIC ASSOCIATES, S.C.
Active
Other names
Orthopaedic Associates of Milwaukee, S.C.
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN M MARSICEK (PRACTICE ADMINISTRATOR)
(414) 332-6262
Entity
Organization
Contact information
Practice address
525 W RIVER WOODS PKWY STE 100, GLENDALE, WI 53212-1010
(414) 332-6262
(414) 332-0422
Mailing address
525 W RIVER WOODS PKWY, SUITE 100, GLENDALE, WI 53212-1010
(414) 332-6262
(414) 332-0422
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
NULL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
NULL
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
NULL
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
NULL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32736100
—
WI
Enumeration date
11/14/2006
Last updated
05/27/2021
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