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Organization
FOX VALLEY NEONATOLOGY SC
Active
Organization
FOX VALLEY NEONATOLOGY SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEEANN M WETLI (MANAGER)
(920) 964-0480
Entity
Organization
Contact information
Practice address
1506 S ONEIDA ST, APPLETON, WI 54915-1305
(920) 738-2000
Mailing address
2941 S RIDGE RD, GREEN BAY, WI 54304-5517
(920) 964-0480
(920) 336-8093
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
Other
Enumeration date
05/09/2007
Last updated
08/22/2020
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