# ORTHOPEDIC ASSOCIATES OF SAUK PRAIRIE S.C.

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

## Provider details

- **NPI number:** 1558348201
- **Authorized official:** ILONA PINZKE (CLINIC ADMINISTRATOR)
- **Authorized official phone:** (608) 643-2471

## Contact information

- **Practice address:** 35 PRAIRIE AVE, SUITE 200, PRAIRIE DU SAC, WI 53578-1500
- **Practice address phone:** (608) 643-2471
- **Practice address fax:** (608) 643-4788
- **Mailing address:** 35 PRAIRIE AVE, SUITE 200, PRAIRIE DU SAC, WI 53578-1500
- **Mailing address phone:** (608) 643-2471
- **Mailing address fax:** (608) 643-4788

## Taxonomy

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

## Other

- **Enumeration date:** 12/23/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 32720300 | — | WI |