Organization
ORTHOPAEDIC SPECIALISTS, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE MARIE BOECKER (OFFICE MANAGER)
(920) 725-0077
Entity
Organization
Contact information
Practice address
1516 S COMMERCIAL ST, NEENAH, WI 54956-4802
(920) 725-0077
(920) 725-6535
Mailing address
1516 S COMMERCIAL ST, NEENAH, WI 54956-4802
(920) 725-0077
(920) 725-6535
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
21334200
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21334200
—
WI
Enumeration date
01/17/2007
Last updated
06/10/2009
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