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Organization

NORTHERN WISCONSIN BONE & JOINT CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEVIN L TADYCH M.D. (PRESIDENT)
(715) 358-1911
Entity
Organization

Contact information

Practice address
7520 US HIGHWAY 51 S, STE A, MINOCQUA, WI 54548-8944
(715) 358-1911
(715) 358-6158
Mailing address
7520 US HIGHWAY 51 S, STE A, MINOCQUA, WI 54548-8944
(715) 358-1911
(715) 358-6158

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1052540001
DMERC NUMBER
WI
05
21298800
WI
Enumeration date
11/13/2006
Last updated
02/18/2013
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