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Organization

VALLEY ORTHOPEDICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARK A WIKENHEISER M.D. (OWNER)
(715) 483-3221
Entity
Organization

Contact information

Practice address
204 S ADAMS ST, SAINT CROIX FALLS, WI 54024-9449
(715) 483-3221
(715) 483-0539
Mailing address
204 S ADAMS ST, SAINT CROIX FALLS, WI 54024-9449
(715) 483-3221
(715) 483-0539

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
40564
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
32555900
WI
Enumeration date
09/27/2006
Last updated
08/22/2020
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