Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Orthopaedics Sports & Workers Medical Group Inc

Organization Orthopaedic Surgery Physician · NPI 1033254099

Orthopaedics Sports & Workers Medical Group Inc is an Orthopaedic Surgery Physician in Lodi, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

621 S Ham Ln Ste A
Lodi, CA 95242-3533
Phone: (209) 368-7777
Fax: (209) 368-7778
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence A41236 (CA)

Record details

NPI number1033254099
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gary Wisner — President · (209) 368-7777
NPI enumeratedFebruary 20, 2007
Last updated in NPPESMarch 30, 2010
Mailing address621 S Ham Ln Ste A, Lodi, CA 95242-3533

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