# FOX VALLEY HEMATOLOGY & ONCOLOGY, S.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FOX VALLEY HEMATOLOGY & ONCOLOGY, S.C.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1912020371
- **Legal business name:** FOX VALLEY HEMATOLOGY & ONCOLOGY, S.C.
- **Authorized official:** TIMOTHY F GOGGINS M.D. (CHIEF MEDICAL OFFICER/PHYSICIAN)
- **Authorized official phone:** (920) 749-1171

## Contact information

- **Practice address:** 191 MEMORIAL DR, BERLIN MEMORIAL HOSPITAL, BERLIN, WI 54923-1241
- **Practice address phone:** (920) 361-5325
- **Mailing address:** 3232 N BALLARD RD, SUITE 200, APPLETON, WI 54911-8804
- **Mailing address phone:** (920) 749-9668
- **Mailing address fax:** (920) 734-5307

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0003X | Hematology & Oncology Physician | — | NULL | Yes |
| 207RH0003X | Hematology & Oncology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/09/2007
- **Last updated:** 01/13/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0886830001 | DMERC | WI |
| 05 | — | 32802700 | — | WI |