Organization
OAW ASC, LLC
Active
Other names
The Orthopedic Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK E. SMITH SPHR (CHIEF ADMINISTRATIVE OFFICER)
(262) 650-7406
Entity
Organization
Contact information
Practice address
1111 DELAFIELD ST, WAUKESHA, WI 53188-3417
(262) 650-7406
(262) 544-6820
Mailing address
W 238 - N 1610 BUSSE RD., PEWAUKEE, WI 53072
(262) 650-7406
(262) 544-6820
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
WI
Other
Enumeration date
01/12/2007
Last updated
08/22/2020
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