# ASPEN ORTHOPEDIC AND REHABILATION SPECALIST

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ASPEN ORTHOPEDIC AND REHABILATION SPECALIST
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1831729276
- **Legal business name:** ASPEN ORTHOPEDIC AND REHABILATION SPECALIST
- **Authorized official:** MARA HEGMAN (BILLING MANAGER)
- **Authorized official phone:** (262) 395-4163

## Contact information

- **Practice address:** 8907 S HOWELL AVE STE 800, OAK CREEK, WI 53154-4461
- **Practice address phone:** (262) 395-4141
- **Practice address fax:** (262) 395-4159
- **Mailing address:** 8907 S HOWELL AVE STE 800, OAK CREEK, WI 53154-4461
- **Mailing address phone:** (262) 395-4141
- **Mailing address fax:** (262) 395-4159

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/24/2020
- **Last updated:** 01/24/2020