Organization
FOX VALLEY HEMATOLOGY & ONCOLOGY, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM C GUENTHER JR. M.D. (OFFICER/PHYSICIAN)
(920) 749-1171
Entity
Organization
Contact information
Practice address
1716 LAWRENCE DR, DE PERE, WI 54115-9108
(920) 749-1171
(920) 734-5307
Mailing address
3232 N BALLARD RD, SUITE 200, APPLETON, WI 54911-8804
(920) 749-9668
(920) 734-5307
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000045450
PTAN
WI
05
—
32802700
—
WI
Enumeration date
01/19/2017
Last updated
01/19/2017
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