# ORTHOPAEDIC ASSOCIATES OF WISCONSIN SC

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

## Provider details

- **NPI number:** 1720433790
- **Authorized official:** JON MICHAEL ENGLUND MD (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (262) 303-5055

## Contact information

- **Practice address:** 1231 S ROCHESTER ST STE 100, MUKWONAGO, WI 53149
- **Practice address phone:** (262) 303-5055
- **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 | — | WI | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | WI | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 04/27/2016
- **Last updated:** 06/05/2026