Organization
FORWARD ORTHOPEDICS, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY N VAN WINKLE M.D. (PHYSICIAN)
(262) 257-5860
Entity
Organization
Contact information
Practice address
W180N8085 TOWN HALL RD, MENOMONEE FALLS, WI 53051-3518
(262) 257-5860
(262) 257-5858
Mailing address
W180N8085 TOWN HALL RD, MENOMONEE FALLS, WI 53051-3518
(262) 257-5860
(262) 257-5858
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
27105-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21251900
—
WI
01
—
4303950001
DME NUMBER
WI
Enumeration date
05/24/2005
Last updated
08/24/2007
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