Organization
SUMMIT ORTHOPEDICS, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BIEN (CFO)
(651) 968-5870
Entity
Organization
Contact information
Practice address
710 COMMERCE DR STE 200, WOODBURY, MN 55125
(651) 968-5042
(651) 968-5904
Mailing address
710 COMMERCE DR STE 200, WOODBURY, MN 55125-4925
(651) 968-5200
(651) 968-5904
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
225XH1200X
Hand Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
352813800
—
MN
01
—
CP5327
RAILROAD MEDICARE
MN
Enumeration date
05/18/2006
Last updated
06/10/2025
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