Organization
BLUEMOUND ORTHOPAEDIC GROUP, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN RICHARD PHILLIPS (PRESIDENT)
(262) 786-2875
Entity
Organization
Contact information
Practice address
13255 W BLUEMOUND RD, SUITE 103, BROOKFIELD, WI 53005-6245
(262) 786-2875
(262) 786-2096
Mailing address
13255 W BLUEMOUND RD, SUITE 103, BROOKFIELD, WI 53005-6245
(262) 786-2875
(262) 786-2096
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/20/2007
Last updated
04/08/2009
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