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Fox Valley Perinatology, S.C.

Obstetrics & Gynecology, Maternal & Fetal Medicine in Appleton, WI. Organization (NPI-2).

NPI number1437409752
StatusActive
Last updated in NPPESMar 10, 2016

Details

NPI
1437409752
Entity type
Organization (NPI-2)
Legal business name
Fox Valley Perinatology, S.C.
Organization subpart
No
Enumeration date
Sep 13, 2012
Last updated
Mar 10, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine–WIYes

Practice location

1818 N Meade St
Appleton, WI 54911-3454

Phone 920-749-4000 · Fax 920-749-4015

Mailing address

1818 N Meade St
Appleton, WI 54911-3454

Phone 920-749-4000 · Fax 920-749-4015

Authorized official

Jill T Honkamp
President
9207494000

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