# Comprehensive Orthopaedics Sc

- **NPI:** 1295717445
- **NPI Type:** Organization
- **Status:** Active
- **Enumeration date:** 2005-11-15
- **Last updated:** 2025-06-25
- **Practice address:** 7401 104th Ave, Suite 110, Kenosha, WI 53142-7845
- **Mailing address:** 7401 104th Ave, Suite 110, Kenosha, WI 53142-7845
- **Phone:** 262-764-5891

## Taxonomy

| Code | Description | License | State | Primary |
| --- | --- | --- | --- | --- |
| 207QS0010X | Family Medicine, Sports Medicine |  |  | No |
| 207XS0106X | Orthopaedic Surgery, Hand Surgery |  |  | No |
| 207XS0114X | Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery |  |  | No |
| 207XS0117X | Orthopaedic Surgery, Orthopaedic Surgery of the Spine |  |  | No |
| 207XX0005X | Orthopaedic Surgery, Sports Medicine |  |  | No |
| 208100000X | Physical Medicine & Rehabilitation |  |  | No |
| 2085R0202X | Radiology, Diagnostic Radiology |  |  | No |
| 208VP0014X | Pain Medicine, Interventional Pain Medicine |  |  | No |
| 332B00000X | Durable Medical Equipment & Medical Supplies |  |  | No |
| 207X00000X | Orthopaedic Surgery |  |  | Yes |

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## Data Notice:

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