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Organization

SHEBOYGAN ORTHOPAEDIC ASSOCIATES SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
D SCOTT SELLINGER MD (PARTNER OFFICER 5 PER OR MORE OWNER)
(920) 458-3791
Entity
Organization

Contact information

Practice address
2920 SUPERIOR AVENUE, SHEBOYGAN, WI 53081
(920) 458-3791
(920) 458-3783
Mailing address
2920 SUPERIOR AVENUE, SHEBOYGAN, WI 53081
(920) 458-3791
(920) 458-3783

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
32750800
WI
Enumeration date
11/08/2006
Last updated
08/19/2010
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