Organization
THE ORTHOPAEDIC SURGERY CENTER LLC
Active
Other names
OAW ASC, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK E. SMITH SPHR (CHIEF ADMINISTRATIVE OFFICER)
(262) 303-5055
Entity
Organization
Contact information
Practice address
N15 W28300 GOLF RD, PEWAUKEE, WI 53072
(262) 303-5000
(262) 303-5006
Mailing address
N15 W28300 GOLF RD, PEWAUKEE, WI 53072-4800
(262) 303-5000
(262) 303-5006
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/06/2007
Last updated
09/06/2018
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