Organization
THE ORTHOPAEDIC SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK E SMITH (CHIEF ADM OFFICER)
(262) 303-5055
Entity
Organization
Contact information
Practice address
N15W28300 GOLF RD, PEWAUKEE, WI 53072
(262) 303-5000
(262) 303-5006
Mailing address
N15W28300 GOLF RD, PEWAUKEE, WI 53072-4800
(262) 303-5000
(262) 303-5006
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/11/2006
Last updated
09/04/2018
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