# SUMMIT ORTHOPEDICS, LTD.

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

## Provider details

- **NPI number:** 1659422509
- **Authorized official:** JOHN BIEN (CFO)
- **Authorized official phone:** (651) 968-5870

## Contact information

- **Practice address:** 7115 TAMARACK RD STE 250, WOODBURY, MN 55125-1209
- **Practice address phone:** (651) 968-5479
- **Practice address fax:** (651) 968-5491
- **Mailing address:** 710 COMMERCE DR STE 200, WOODBURY, MN 55125-4925
- **Mailing address phone:** (651) 968-5042
- **Mailing address fax:** (651) 968-5904

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 207XS0106X | Orthopaedic Hand Surgery Physician | — | NULL | — |
| 207XS0106X | Orthopaedic Hand Surgery Physician | — | — | — |
| 208VP0000X | Pain Medicine Physician | — | NULL | — |
| 208VP0000X | Pain Medicine Physician | — | — | — |
| 213E00000X | Podiatrist | — | NULL | — |
| 213E00000X | Podiatrist | — | — | — |

## Other

- **Enumeration date:** 01/16/2007
- **Last updated:** 08/01/2019