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Anesthesia Services Of The Fox Valley, S.C.

Nurse Anesthetist, Certified Registered in Oshkosh, WI. Organization (NPI-2).

NPI number1134585508
StatusActive
Last updated in NPPESJan 14, 2016

Details

NPI
1134585508
Entity type
Organization (NPI-2)
Legal business name
Anesthesia Services Of The Fox Valley, S.C.
Organization subpart
No
Enumeration date
Jan 14, 2016
Last updated
Jan 14, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367500000X Nurse Anesthetist, Certified Registered––Yes

Practice location

500 S Oakwood Rd
Oshkosh, WI 54904-7944

Phone 920-223-1941

Mailing address

926 Roosevelt St
Kaukauna, WI 54130-1660

Phone 920-716-3272

Authorized official

Michael Nigl
Practice Manager
9202231941

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