Healthcare Provider Details

I. General information

NPI: 1821923152
Provider Name (Legal Business Name): BONE & JOINT CLINIC S.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2066 N STEVENS ST
RHINELANDER WI
54501-8565
US

IV. Provider business mailing address

225000 HUMMINGBIRD RD STE 100
RIB MOUNTAIN WI
54401-2950
US

V. Phone/Fax

Practice location:
  • Phone: 715-359-6442
  • Fax:
Mailing address:
  • Phone: 715-359-6442
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: JENA VRUWINK SKERVEN
Title or Position: REVENUE CYCLE DIRECTOR
Credential:
Phone: 715-393-0991