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Organization
ORTHOPAEDIC ASSOCIATES OF WISCONSIN, SC
Active
Organization
ORTHOPAEDIC ASSOCIATES OF WISCONSIN, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON MICHAEL ENGLUND MD (CHIEF EXECUTIVE OFFICER)
(262) 303-5055
Entity
Organization
Contact information
Practice address
N15W28300 GOLF RD, PEWAUKEE, WI 53072-4800
(262) 303-5055
(262) 303-5057
Mailing address
N15W28300 GOLF RD, PEWAUKEE, WI 53072-4800
(262) 303-5055
(262) 303-5057
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
—
—
261QR0400X
Rehabilitation Clinic/Center
—
NULL
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689656951
—
WI
05
—
1720433790
—
WI
05
—
1952756769
—
WI
Enumeration date
11/14/2005
Last updated
10/23/2025
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