# FOX VALLEY ORTHOPAEDIC SURGEON'S ASSOCIATION, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295132496
- **Authorized official:** CURT KUBIAK (CEO)
- **Authorized official phone:** (920) 560-1001

## Contact information

- **Practice address:** 2105 E ENTERPRISE AVE, APPLETON, WI 54913-7862
- **Practice address phone:** (920) 560-1100
- **Practice address fax:** (920) 560-1112
- **Mailing address:** 2105 E ENTERPRISE AVE, APPLETON, WI 54913-7862
- **Mailing address phone:** (920) 560-1100
- **Mailing address fax:** (920) 560-1112

## Taxonomy

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

## Other

- **Enumeration date:** 12/03/2014
- **Last updated:** 12/03/2014