# ORTHOPEDIC ASSOCIATES OF WISCONSIN

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

## Provider details

- **NPI number:** 1710395959
- **Authorized official:** SANDRA KOESTER (ATHLETIC TRAINER)
- **Authorized official phone:** (262) 544-5311

## Contact information

- **Practice address:** 1111 DELAFIELD ST, WAUKESHA, WI 53188-3417
- **Practice address phone:** (262) 544-5311
- **Mailing address:** 512 N 109TH ST, WAUWATOSA, WI 53226-4210
- **Mailing address phone:** (702) 572-2583

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 1442-39 | WI | Yes |

## Other

- **Enumeration date:** 07/31/2014
- **Last updated:** 07/31/2014