Northern Wisconsin Bone & Joint Center

NPI #1922179696 in Minocqua, Wisconsin

Provider Information

NPI Number: 1922179696
Entity Type: Organization
Organization Name: Northern Wisconsin Bone & Joint Center
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Nov 13, 2006
Last Updated: Feb 18, 2013

Practice Location

Address: 7520 US HIGHWAY 51 S
Address 2: STE A
City: Minocqua
State: Wisconsin
ZIP Code: 54548-8944
Phone: (715) 358-1911

Authorized Official

Name: KEVIN L TADYCH, M.D.
Title: PRESIDENT
Phone: (715) 358-1911

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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