# BLOUNT ORTHOPAEDIC ASSOCIATES, S.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Orthopaedic Associates of Milwaukee, S.C.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508938606
- **Authorized official:** JEAN M MARSICEK (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (414) 332-6262

## Contact information

- **Practice address:** 525 W RIVER WOODS PKWY STE 100, GLENDALE, WI 53212-1010
- **Practice address phone:** (414) 332-6262
- **Practice address fax:** (414) 332-0422
- **Mailing address:** 525 W RIVER WOODS PKWY, SUITE 100, GLENDALE, WI 53212-1010
- **Mailing address phone:** (414) 332-6262
- **Mailing address fax:** (414) 332-0422

## Taxonomy

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

- **Enumeration date:** 11/14/2006
- **Last updated:** 05/27/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 32736100 | — | WI |