Northern Wisconsin Bone & Joint

NPI #1104142330 in Ontonagon, Michigan

Provider Information

NPI Number: 1104142330
Entity Type: Organization
Organization Name: Northern Wisconsin Bone & Joint
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Apr 13, 2010
Last Updated: Apr 29, 2010

Practice Location

Address: 601 S 7TH ST
City: Ontonagon
State: Michigan
ZIP Code: 49953-1448
Phone: (715) 358-1911

Authorized Official

Name: DR. KEVIN LEE TADYCH, M.D.
Title: PRESIDENT/OWNER
Phone: (715) 358-1911

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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