Orthopedic Surgery Center Of The Fox Valley LLC
Clinic/Center, Ambulatory Surgical in Neenah, WI. Organization (NPI-2).
NPI number1164056974
StatusActive
Last updated in NPPESJan 22, 2025
Details
- NPI
- 1164056974
- Entity type
- Organization (NPI-2)
- Legal business name
- Orthopedic Surgery Center Of The Fox Valley LLC
- Organization subpart
- No
- Enumeration date
- Mar 2, 2020
- Certification date
- Jan 22, 2025
- Last updated
- Jan 22, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA1903X | Clinic/Center, Ambulatory Surgical | – | – | Yes |
Practice location
1205 W American DrNeenah, WI 54956-1405
Phone 920-965-6382
Mailing address
2223 Lime Kiln Rd Ste 1Green Bay, WI 54311-6213
Phone 920-965-6382
Authorized official
Sandy Fragale
Board Chair
9209659520
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