Organization
ANESTHESIA SERVICES OF THE FOX VALLEY SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN M LESCHKE MD (PRESIDENT)
(920) 426-2211
Entity
Organization
Contact information
Practice address
500 S OAKWOOD RD, OSHKOSH, WI 54904-7944
(920) 236-2000
Mailing address
50 PEARL AVE STE 203, OSHKOSH, WI 54901-4811
(920) 426-2211
(920) 426-2231
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
27019
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32892300
—
WI
Enumeration date
06/09/2005
Last updated
01/18/2024
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