Fox Valley Surgical Assistants, LLC

NPI #1205461506 in Milwaukee, Wisconsin

Provider Information

NPI Number: 1205461506
Entity Type: Organization
Organization Name: Fox Valley Surgical Assistants, LLC
Primary Specialty: Physician Assistant
Enumeration Date: Mar 6, 2020
Last Updated: Jul 14, 2022

Practice Location

Address: 11414 W PARK PL STE 202
City: Milwaukee
State: Wisconsin
ZIP Code: 53224-3500
Phone: (210) 598-4262

Authorized Official

Name: ROXANNA LAROQUE
Title: DIRECTOR OF CLIENT EXPERIENCE
Phone: (210) 598-2801

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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