Organization
ORTHOPAEDIC CENTERS OF WISCONSIN S C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE MELENBACKER (ADMINISTRATOR)
(715) 344-2167
Entity
Organization
Contact information
Practice address
3901 STEWART AVE, WAUSAU, WI 54401-3948
(715) 907-0900
Mailing address
3901 STEWART AVE, WAUSAU, WI 54401-3948
(715) 907-0900
(715) 803-6977
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
207XX0801X
Orthopaedic Trauma Physician
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
225XH1200X
Hand Occupational Therapist
—
—
Other
Enumeration date
04/22/2016
Last updated
02/23/2026
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