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Contact Information

BLOUNT ORTHOPAEDIC ASSOCIATES, S.C.
525 W RIVER WOODS PKWY STE 100
GLENDALE, WI53212-1010
 Phone: 414-332-6262
 Fax: 414-332-0422
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Adult Reconstructive Orthopaedic Surgery

207XS0114X 02 Physician/General Surgery
 

Foot and Ankle Surgery

207XX0004X 02 Physician/General Surgery
 

Orthopaedic Surgery of the Spine

207XS0117X 02 Physician/General Surgery
 

Sports Medicine

207XX0005X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for BLOUNT ORTHOPAEDIC ASSOCIATES, S.C.

NPI Number 1508938606
LBN Legal business name BLOUNT ORTHOPAEDIC ASSOCIATES, S.C.
Authorized official JEAN MARSICEK - (PRACTICE ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/14/2006
Last updated 05/27/2021 - About 5 years ago
Identifiers
WI Medicaid 32736100
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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