# ORTHOPEDIC AND SPORTS INSTITUTE OF THE FOX VALLEY S C

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Orthopedic Clinic of Appleton
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003836867
- **Authorized official:** DAVID ALLEN EGGERT (MEDICAL DOCTOR)
- **Authorized official phone:** (920) 560-1000

## Contact information

- **Practice address:** 2105 E ENTERPRISE AVE, APPLETON, WI 54913-7862
- **Practice address phone:** (920) 560-1000
- **Practice address fax:** (920) 731-7133
- **Mailing address:** 2105 E ENTERPRISE AVE, APPLETON, WI 54913-7862
- **Mailing address phone:** (920) 560-1000
- **Mailing address fax:** (920) 731-7133

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/21/2006
- **Last updated:** 11/03/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 34294100 | — | WI |
