Organization
ORTHOPEDIC SURGEONS OF WISCONSIN, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
(615) 234-5954
Entity
Organization
Contact information
Practice address
3077 N MAYFAIR RD STE 305, WAUWATOSA, WI 53222-4305
(414) 384-6700
(414) 727-1058
Mailing address
3111 W RAWSON AVE STE 200, FRANKLIN, WI 53132-8890
(414) 384-6700
(414) 727-1058
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
207XX0801X
Orthopaedic Trauma Physician
—
—
225100000X
Physical Therapist
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21271200
—
WI
Enumeration date
07/11/2006
Last updated
08/20/2025
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