ORAL & MAXILLOFACIAL SURGERY FOX CITIES, S.C.
Suppliers at Michaels Dr, Appleton, WI

License number
Wisconsin 5068015
Category
Suppliers
Type
Durable Medical Equipment & Medical Supplies
Owner
Name: MS. AMANDA NEWHOUSE
Title: PATIENT ACCOUNTS
Phone: (920) 739-1214
Address
Address
5395 Michaels Dr, Appleton, WI 54913
National Provider ID: 1154555373
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ORAL & MAXILLOFACIAL SURGERY FOX CITIES, S.C

Appleton, WI

Industry:
Dentist's Office Specialty Outpatient Clinic
Registration:
Dec 21, 1972
Phone:
(920) 739-1214 (Phone)
Addresses:
5395 W Michael #39 S DR, Appleton, WI 54913 (Physical)
5395 W Michaels Dr, Appleton, WI 54913
State ID:
5M16834
Business type:
Service Corporation
Family And General Dentistrys:
Jeffery Casperson (President, Family And General Dentistry, Oral & Maxillofacial Surgeon),Timothy Zuck (Family And General Dentistry, Oral & Maxillofacial Surgeon),Christopher A. Bergstrom (Family And General Dentistry, Oral & Maxillofacial Surgeon),...

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