# NORTHWOODS FAMILY ORTHOPAEDICS S.C.

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

## Provider details

- **NPI number:** 1982641353
- **Authorized official:** DR. MARK S BALAS M.D. (PRESIDENT)
- **Authorized official phone:** (715) 561-4795

## Contact information

- **Practice address:** 502 COPPER ST, HURLEY, WI 54534-1345
- **Practice address phone:** (715) 561-4795
- **Mailing address:** 200 E WASHINGTON ST, P O BOX 8031, APPLETON, WI 54911-5490
- **Mailing address phone:** (888) 833-8200
- **Mailing address fax:** (920) 739-0124

## Taxonomy

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

## Other

- **Enumeration date:** 06/02/2006
- **Last updated:** 06/30/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2002700242 | BLUE CROSS GROUP \# | MI |
| 05 | — | 32860600 | — | WI |