# FOX VALLEY SURGICAL ASSOCIATES LTD

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FOX VALLEY SURGICQAL ASSOCIATES LTD
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1750574711
- **Legal business name:** FOX VALLEY SURGICQAL ASSOCIATES LTD
- **Authorized official:** CURT KUBIAK (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (952) 653-2528

## Contact information

- **Practice address:** 2105 E ENTERPRISE AVE, APPLETON, WI 54913-7862
- **Practice address phone:** (952) 653-2528
- **Mailing address:** 6501 CITY WEST PKWY, EDEN PRAIRIE, MN 55344-3248

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 08/23/2007
- **Last updated:** 06/18/2008
