Blount Orthopaedic Associates, S.c.

NPI #1508938606 in Glendale, Wisconsin

Provider Information

NPI Number: 1508938606
Entity Type: Organization
Organization Name: Blount Orthopaedic Associates, S.c.
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Nov 14, 2006
Last Updated: May 27, 2021

Practice Location

Address: 525 W RIVER WOODS PKWY STE 100
City: Glendale
State: Wisconsin
ZIP Code: 53212-1010
Phone: (414) 332-6262

Authorized Official

Name: JEAN M MARSICEK
Title: PRACTICE ADMINISTRATOR
Phone: (414) 332-6262

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery — Adult Reconstructive Orthopaedic Surgery	207XS0114X
Orthopaedic Surgery - Orthopaedic Surgery of the Spine — Orthopaedic Surgery of the Spine	207XS0117X
Orthopaedic Surgery - Foot and Ankle Surgery — Foot and Ankle Surgery	207XX0004X
Orthopaedic Surgery - Sports Medicine — Sports Medicine	207XX0005X
Orthopaedic Surgery	207X00000X	Primary

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