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Organization

ORTHOPEDIC ASSOCIATES OF WISCONSIN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SANDRA KOESTER (ATHLETIC TRAINER)
(262) 544-5311
Entity
Organization

Contact information

Practice address
1111 DELAFIELD ST, WAUKESHA, WI 53188-3417
(262) 544-5311
Mailing address
512 N 109TH ST, WAUWATOSA, WI 53226-4210
(702) 572-2583

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1442-39
WI

Other

Enumeration date
07/31/2014
Last updated
07/31/2014
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