# ORTHOPAEDIC SPECIALISTS, S.C.

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

## Provider details

- **NPI number:** 1871645333
- **Authorized official:** MS. DIANE MARIE BOECKER (OFFICE MANAGER)
- **Authorized official phone:** (920) 725-0077

## Contact information

- **Practice address:** 1516 S COMMERCIAL ST, NEENAH, WI 54956-4802
- **Practice address phone:** (920) 725-0077
- **Practice address fax:** (920) 725-6535
- **Mailing address:** 1516 S COMMERCIAL ST, NEENAH, WI 54956-4802
- **Mailing address phone:** (920) 725-0077
- **Mailing address fax:** (920) 725-6535

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 21334200 | WI | — |

## Other

- **Enumeration date:** 01/17/2007
- **Last updated:** 06/10/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 21334200 | — | WI |