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Organization

FOX VALLEY UROLOGICAL ASSOCIATES SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FRANK M. CHYBOWSKI MD (PRESIDENT)
(920) 450-7510
Entity
Organization

Contact information

Practice address
2700 E ENTERPRISE AVE STE A, APPLETON, WI 54913-7656
(920) 380-9890
Mailing address
200 E WASHINGTON ST, PO BOX 8031, APPLETON, WI 54911-5490
(866) 313-0337
(920) 739-0124

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary

Other

Enumeration date
05/22/2012
Last updated
05/22/2012
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