# FVOSA SURGICAL PARTNERS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Orthopedic & Sports Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043254162
- **Authorized official:** DR. J. DAVID KUPLIC M.D. (PRESIDENT OF FVOSA)
- **Authorized official phone:** (920) 731-6611

## Contact information

- **Practice address:** 2105 E. ENTERPRISE AVE., SUITE 101, APPLETON, WI 54913
- **Practice address phone:** (920) 560-1100
- **Practice address fax:** (920) 560-1112
- **Mailing address:** 2105 E. ENTERPRISE AVE., SUITE 101, APPLETON, WI 54913
- **Mailing address phone:** (920) 560-1100
- **Mailing address fax:** (920) 560-1112

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/16/2006
- **Last updated:** 07/21/2022