Organization
EYE CLINIC OF THE FOX VALLEY SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN S DUDLEY M.D. (PRESIDENT)
(920) 235-3546
Entity
Organization
Contact information
Practice address
240 FIRST STREET, NEENAH, WI 54956-2719
(920) 729-6600
(920) 729-6603
Mailing address
240 FIRST STREET, NEENAH, WI 54956-2719
(920) 729-6600
(920) 729-6603
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
01/16/2007
Last updated
01/16/2013
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