# THE ORTHOPAEDIC SURGERY CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** OAW ASC, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982743530
- **Authorized official:** MR. MARK E. SMITH SPHR (CHIEF ADMINISTRATIVE OFFICER)
- **Authorized official phone:** (262) 303-5055

## Contact information

- **Practice address:** N15 W28300 GOLF RD, PEWAUKEE, WI 53072
- **Practice address phone:** (262) 303-5000
- **Practice address fax:** (262) 303-5006
- **Mailing address:** N15 W28300 GOLF RD, PEWAUKEE, WI 53072-4800
- **Mailing address phone:** (262) 303-5000
- **Mailing address fax:** (262) 303-5006

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/06/2007
- **Last updated:** 09/06/2018