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NPI Code Detail

MEDICARE: FORWARD ORTHOPEDICS, S.C.

MEDICARE: FORWARD ORTHOPEDICS, S.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician27105-020WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
24303950001OTHERWIDME NUMBER

General Provider Information

NPI Number : 1386647287
Entity Type Code : Organization
Provider Name (Legal Business Name) : FORWARD ORTHOPEDICS, S.C.
Provider Business Mailing Address
First Line : W180N8085 TOWN HALL RD
Second Line :
City : MENOMONEE FALLS
State : WI
Zip : 53051-3518
Country : US
Telephone Number : 262-257-5860
Fax Number : 262-257-5858
Provider Business Practice Location Address
First Line : W180N8085 TOWN HALL RD
Second Line :
City : MENOMONEE FALLS
State : WI
Zip : 53051-3518
Country : US
Telephone Number : 262-257-5860
Fax Number : 262-257-5858
Authorized Official
Title or Position : PHYSICIAN
Name : GREGORY N VAN WINKLE
Credential : M.D.
Telephone Number : 262-257-5860
Provider Enumeration Date : 05/24/2005
Last Update Date : 08/24/2007

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Directions to “FORWARD ORTHOPEDICS, S.C. ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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