| NPI | 1215169073 |
|---|---|
| Doing Business As | MILWAUKEE CLINIC OF ORTHOPEDIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | MARY J BANACH Administrator 414-321-8960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 213ES0103X Podiatrist Foot & Ankle Surgery |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2010-07-06 |