# NORTHLAND ORTHOPEDIC ASSOCIATES, S.C.

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

## Provider details

- **NPI number:** 1558373977
- **Authorized official:** JAMES R DYREBY M.D. (PRESIDENT)
- **Authorized official phone:** (715) 369-2300

## Contact information

- **Practice address:** 444 E TIMBER DR, RHINELANDER, WI 54501-2852
- **Practice address phone:** (715) 369-2300
- **Practice address fax:** (715) 369-2482
- **Mailing address:** 444 E TIMBER DR, RHINELANDER, WI 54501-2852
- **Mailing address phone:** (715) 369-2300
- **Mailing address fax:** (715) 369-2482

## Taxonomy

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

## Other

- **Enumeration date:** 08/13/2006
- **Last updated:** 04/24/2009

## 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 |