Organization
MILWAUKEE SPORTS THERAPY
Active
Parent organization
ORTHOPEDIC SURGEONS OF WISCONSIN SC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORTHOPEDIC SURGEONS OF WISCONSIN SC
Authorized official
JANIS P KLUCK (BUSINESS MANAGER)
(414) 643-4027
Entity
Organization
Contact information
Practice address
3111 W RAWSON AVE, SUITE 215, FRANKLIN, WI 53132-8890
(414) 325-4330
Mailing address
2323 N MAYFAIR RD, SUITE 300, MILWAUKEE, WI 53226-1506
(414) 384-6700
(414) 727-1058
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
02/23/2015
Last updated
02/23/2015
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