# ORTHOPAEDIC ASSOCIATES OF WISCONSIN, SC

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

## Provider details

- **NPI number:** 1689656951
- **Authorized official:** JON MICHAEL ENGLUND MD (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (262) 303-5055

## Contact information

- **Practice address:** N15W28300 GOLF RD, PEWAUKEE, WI 53072-4800
- **Practice address phone:** (262) 303-5055
- **Practice address fax:** (262) 303-5057
- **Mailing address:** N15W28300 GOLF RD, PEWAUKEE, WI 53072-4800
- **Mailing address phone:** (262) 303-5055
- **Mailing address fax:** (262) 303-5057

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 11/14/2005
- **Last updated:** 10/23/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1689656951 | — | WI |
| 05 | — | 1720433790 | — | WI |
| 05 | — | 1952756769 | — | WI |