Fvosa Surgical Partners, LLC

NPI #1043254162 in Appleton, Wisconsin

Provider Information

NPI Number
1043254162
Entity Type
Organization
Organization Name
Fvosa Surgical Partners, LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Jun 16, 2006
Last Updated
Jul 21, 2022

Practice Location

Address
2105 E. ENTERPRISE AVE.
Address 2
SUITE 101
ZIP Code
54913
Phone
(920) 560-1100

Authorized Official

Name
DR. J. DAVID KUPLIC, M.D.
Title
PRESIDENT OF FVOSA
Phone
(920) 731-6611

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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