| Organization Name: | THE ORTHOPAEDIC SURGERY CENTER LLC |
| NPI Number: | 1003976929 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | VICKI L LARSON (BUSINESS OFFICE MANAGER) |
| Mailing Address: | W238n1610 Busse Road Suite 100 Waukesha |
| State: | WI US |
| Postal Code: | 531881163 |
| Phone Number: | 2625228888 |
| Fax Number: | 2625228897 |
| NPI Enumeration Date: | 12/11/2006 |
| NPI Last Update Date: | 06/21/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |