Oral & Maxillofacial Surgery Fox Cities, S.c.

NPI #1154555373 in Appleton, Wisconsin

Provider Information

NPI Number: 1154555373
Entity Type: Organization
Organization Name: Oral & Maxillofacial Surgery Fox Cities, S.c.
Primary Specialty: Durable Medical Equipment & Medical Supplies
Enumeration Date: May 4, 2009
Last Updated: May 4, 2009

Practice Location

Address: 5395 MICHAELS DR
City: Appleton
State: Wisconsin
ZIP Code: 54913-8447
Phone: (920) 739-1214

Authorized Official

Name: MS. AMANDA NEWHOUSE
Title: PATIENT ACCOUNTS
Phone: (920) 739-1214

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X	Primary

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