Organization
APPLETON EMERGENCY SERVICES S C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANJAY KUMAR CHOPRA DO (PRESIDENT)
(920) 763-6900
Entity
Organization
Contact information
Practice address
1818 N MEADE ST, APPLETON, WI 54911-3454
(800) 968-6866
(616) 532-7230
Mailing address
PO BOX 12249, DAYTONA BEACH, FL 32120-2249
(386) 274-7800
(386) 274-7801
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
36870
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21314300
—
WI
01
—
CK2123
RAILROAD MEDICARE
WI
Enumeration date
06/01/2005
Last updated
09/15/2021
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