Organization
FOX VALLEY SURGICAL ASSOCIATES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE BOYD (CREDENTIALING SPECIALIST)
(920) 358-1729
Entity
Organization
Contact information
Practice address
2000 E MILESTONE DR, APPLETON, WI 54913-6701
(920) 731-8131
(920) 832-0444
Mailing address
2000 E MILESTONE DR, APPLETON, WI 54913-6701
(920) 731-8131
(920) 832-0444
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
208600000X
Surgery Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
—
2086X0206X
Surgical Oncology Physician
—
—
Other
Enumeration date
05/16/2006
Last updated
08/11/2025
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