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MILWAUKEE CLINIC OF ORTHO SURGERY LTD NPI 1215169073


NPI Information

NPI: 1215169073
Provider Name: MILWAUKEE CLINIC OF ORTHO SURGERY LTD

Doing Business As: MILWAUKEE CLINIC OF ORTHOPEDIC SURGERY

Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
19035 W CAPITOL DR
SUITE 101
BROOKFIELD, WI
ZIP 53045
Phone: (414) 321-8960
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MILWAUKEE CLINIC OF ORTHO SURGERY LTD is an orthopaedic surgery in Brookfield, WI. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. MILWAUKEE CLINIC OF ORTHO SURGERY LTD NPI is 1215169073. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Milwaukee Clinic Of Orthopedic Surgery.

The provider's business location address is:

19035 W CAPITOL DR
SUITE 101
BROOKFIELD, WI
ZIP 53045-755
Phone: (414) 321-8960
Fax: (414) 321-0632

The provider's authorized official is Mary J Banach .
The authorized official title is Administrator and has the following contact phone number (414) 321-8960.

The enumeration date for this NPI number is 8/12/2009 and was last updated on 7/6/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0103XPodiatristFoot & Ankle SurgeryWISCONSINNo
2332B00000XDurable Medical Equipment & Medical SuppliesWISCONSINNo
3207X00000XOrthopaedic SurgeryWISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
141716700MEDICAIDWISCONSIN
20000068309MEDICARE NSCWISCONSIN
31222470002MEDICARE NSCWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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