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Organization
BLOUNT ORTHOPAEDIC ASSOCIATES, S.C.
Active
Organization
BLOUNT ORTHOPAEDIC ASSOCIATES, S.C.
Active
Other names
Orthopaedic Associates of Milwaukee, S.C.
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN MARIE MARSICEK (PRACTICE ADMINISTRATOR)
(414) 977-1325
Entity
Organization
Contact information
Practice address
525 W. RIVER WOODS PARKWAY, SUITE 100, GLENDALE, WI 53212-1010
(414) 332-6262
(414) 332-0422
Mailing address
525 W. RIVER WOODS PARKWAY, SUITE 100, GLENDALE, WI 53212-1010
(414) 332-6262
(414) 332-0422
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
NULL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
Other
Enumeration date
06/20/2005
Last updated
10/07/2024
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