FOX VALLEY GASTROENTEROLOGY S.C. NPI 1043461460

NPI Information

FOX VALLEY GASTROENTEROLOGY, S.C. is a specialist in Appleton, WI. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. FOX VALLEY GASTROENTEROLOGY, S.C. NPI is 1043461460. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

900 E GRANT ST
APPLETON, WI
ZIP 54911-487
Phone: (920) 731-9700
Fax: (920) 731-2234

The provider's authorized official is Michael George Geall .
The authorized official title is President and has the following contact phone number (920) 731-9700.

The enumeration date for this NPI number is 10/3/2008 and was last updated on 10/3/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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