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Organization
NORTHLAND ORTHOPEDIC ASSOCIATES, S.C.
Active
Organization
NORTHLAND ORTHOPEDIC ASSOCIATES, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES R DYREBY M.D. (PRESIDENT)
(715) 369-2300
Entity
Organization
Contact information
Practice address
444 E TIMBER DR, RHINELANDER, WI 54501-2852
(715) 369-2300
(715) 369-2482
Mailing address
444 E TIMBER DR, RHINELANDER, WI 54501-2852
(715) 369-2300
(715) 369-2482
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
WI
332B00000X
Durable Medical Equipment & Medical Supplies
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30507700
—
WI
05
—
32339000
—
WI
05
—
34097900
—
WI
05
—
34101900
—
WI
05
—
42949500
—
WI
05
—
43024500
—
WI
Enumeration date
08/13/2006
Last updated
04/24/2009
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