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APPLETON PLASTIC SURGERY CENTER SC NPI 1235246869


NPI Information

NPI: 1235246869
Provider Name: APPLETON PLASTIC SURGERY CENTER, SC
Classification: Plastic Surgery - 208200000X
Entity Type: Organization

CLIA Number: 52D2151040

Address:
5605 WATERFORD LN
APPLETON, WI
ZIP 54913
Phone: (920) 738-7200
Get Directions

APPLETON PLASTIC SURGERY CENTER, SC is a plastic surgery in Appleton, WI. The provider is a plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. APPLETON PLASTIC SURGERY CENTER, SC NPI is 1235246869. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5605 WATERFORD LN
APPLETON, WI
ZIP 54913-438
Phone: (920) 738-7200
Fax: (920) 273-2500

The provider's authorized official is Meredith Kiesnowski .
The authorized official title is Administrator and has the following contact phone number (920) 738-7200.

The CLIA number assigned to this NPI record is 52D2151040 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/23/2006 and was last updated on 4/4/2019.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208200000XPlastic SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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