Organization
UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION
Active
Other names
UW Health Fox Valley Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE KINSELLA (SUPERVISOR)
(608) 829-5270
Entity
Organization
Contact information
Practice address
229 S MORRISON ST, APPLETON, WI 54911-5725
(920) 832-2783
(608) 833-6932
Mailing address
7974 UW HEALTH COURT, MIDDLETON, WI 53562-5531
(608) 829-5270
(608) 833-6965
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41728800
—
WI
Enumeration date
03/24/2006
Last updated
04/30/2009
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