Organization
FOX VALLEY PLASTIC SURGERY, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANNE THOMPSON (ADMINISTRATOR)
(920) 233-1540
Entity
Organization
Contact information
Practice address
2400 WITZEL AVE, SUITE A, OSHKOSH, WI 54904-8369
(920) 233-1540
(920) 651-6951
Mailing address
2400 WITZEL AVE, SUITE A, OSHKOSH, WI 54904-8369
(920) 233-1540
(920) 651-6951
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
04/11/2007
Last updated
07/10/2024
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