Organization
ORAL & MAXILLOFACIAL SURGERY FOX CITIES S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANN K DUDLEY (OFFICE MANAGER)
(920) 739-1214
Entity
Organization
Contact information
Practice address
5395 MICHAELS DR, APPLETON, WI 54913-8447
(920) 739-1214
(920) 739-5855
Mailing address
5395 MICHAELS DR, APPLETON, WI 54913-8447
(920) 739-1214
(920) 739-5855
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
WI
Other
Enumeration date
03/14/2007
Last updated
08/22/2020
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