Organization
VALLEY FAMILY MEDICINE S.C.
Active
Other names
Brian L Van Hoozen, D.O. S.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN L VAN HOOZEN D.O. (OWNER)
(920) 982-7900
Entity
Organization
Contact information
Practice address
1505 MILL ST, NEW LONDON, WI 54961-2187
(920) 982-7900
(920) 982-7995
Mailing address
1505 MILL ST, NEW LONDON, WI 54961-2187
(920) 982-7900
(920) 982-7995
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3269921
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30054700
—
WI
Enumeration date
07/15/2016
Last updated
07/15/2016
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