Organization
M ORTHO, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTEN MASKALA M.D. (OWNER)
(262) 641-3700
Entity
Organization
Contact information
Practice address
W62 N179 WASHINGTON AVE, SUITE 3, CEDARBURG, WI 53012-2726
(262) 641-3700
Mailing address
PO BOX 410, BROOKFIELD, WI 53008-0410
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
41376
WI
Other
Enumeration date
02/27/2015
Last updated
02/27/2015
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