Organization
PLASTIC SURGERY CONTRACTING ASSOCIATES, LLC
Active
Parent organization
APPLETON PLASTIC SURGERY CENTER, SC
Other names
Appleton Plastic Surgery Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
APPLETON PLASTIC SURGERY CENTER, SC
Authorized official
MEREDITH H KIESNOWSKI (ADMINISTRATOR)
(920) 738-7200
Entity
Organization
Contact information
Practice address
5605 W WATERFORD LN, APPLETON, WI 54913-8438
(920) 738-7200
(920) 273-2500
Mailing address
5605 W WATERFORD LN, APPLETON, WI 54913-8438
(920) 738-7200
(920) 273-2500
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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