Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Family & Sports Orthopaedic Center, LLC

Organization Specialist · NPI 1467565978

Family & Sports Orthopaedic Center, LLC provides Specialist services in Beaver Dam, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

118 W Maple Ave
Beaver Dam, WI 53916-2104 Not confirmed with CMS for 15 years — call before visiting
Phone: (920) 356-1000
Fax: (920) 356-0719
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 36330 (WI)

Record details

NPI number1467565978
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Coe — Member · (920) 356-1000
NPI enumeratedAugust 17, 2006
Last updated in NPPESMarch 2, 2011
Mailing address118 W Maple Ave, Beaver Dam, WI 53916-2104

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