Organization
ORTHOPAEDIC ASSOCIATES OF WISCONSIN, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON MICHAEL ENGLUND MD (CHIEF EXECUTIVE OFFICER)
(262) 303-5055
Entity
Organization
Contact information
Practice address
N15W28300 GOLF RD, PEWAUKEE, WI 53072-4800
(262) 303-5055
(262) 303-5057
Mailing address
N15W28300 GOLF RD, PEWAUKEE, WI 53072-4800
(262) 303-5055
(262) 303-5057
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689656951
—
WI
05
—
1720433790
—
WI
05
—
1952756769
—
WI
Enumeration date
11/14/2005
Last updated
10/23/2025
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