Organization
ORAL & MAXILLOFACIAL SURGERY FOX CITIES, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMANDA NEWHOUSE (PATIENT ACCOUNTS)
(920) 739-1214
Entity
Organization
Contact information
Practice address
5395 MICHAELS DR, APPLETON, WI 54913-8447
(920) 739-1214
(920) 739-5855
Mailing address
5395 MICHAELS DR, APPLETON, WI 54913-8447
(920) 739-1214
(920) 739-5855
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
5068015
WI
Other
Enumeration date
05/04/2009
Last updated
05/04/2009
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