Organization
ANESTHESIA SERVICES OF THE FOX VALLEY, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL NIGL RN/BSN (PRACTICE MANAGER)
(920) 223-1941
Entity
Organization
Contact information
Practice address
500 S OAKWOOD RD, OSHKOSH, WI 54904-7944
(920) 223-1941
Mailing address
926 ROOSEVELT ST, KAUKAUNA, WI 54130-1660
(920) 716-3272
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
175603
RN LICENSE
WI
Enumeration date
01/14/2016
Last updated
01/14/2016
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