Organization
APPLETON PLASTIC SURGERY CENTER, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEREDITH KIESNOWSKI (ADMINISTRATOR)
(920) 738-7200
Entity
Organization
Contact information
Practice address
5605 WATERFORD LN, APPLETON, WI 54913-8438
(920) 738-7200
(920) 273-2500
Mailing address
5605 WATERFORD LN, APPLETON, WI 54913-8438
(920) 738-7200
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
08/23/2006
Last updated
04/04/2019
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