South Shore Orthopedic Surgery Group LLC

NPI #1447540463 in Franklin, Wisconsin

Provider Information

NPI Number: 1447540463
Entity Type: Organization
Organization Name: South Shore Orthopedic Surgery Group LLC
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Apr 11, 2011
Last Updated: Apr 11, 2011

Practice Location

Address: 9120 W LOOMIS RD STE 100
City: Franklin
State: Wisconsin
ZIP Code: 53132-9083
Phone: (262) 939-9318

Authorized Official

Name: MS. CATHY J DEAN
Title: ADMINISTRATOR
Phone: (262) 939-9318

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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