Oral Surgery Assoc Ltd

NPI 1013020866 - Oral & Maxillofacial Surgery - 204E00000X

NPI Details
NPI 1013020866
Enumeration Date 08/16/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name GUY K GUY
Position OWNER
Phone (920) 923-0111
Fax (920) 923-0366
Practice Location
464 SOUTH HICKORY STREET
SUITE A
FOND DU LAC WI, 54935, US
Phone (920) 923-0111
Fax (920) 923-0366
Business Location
464 SOUTH HICKORY STREET
SUITE A
FOND DU LAC WI, 54935, US
Phone (920) 923-0111
Fax (920) 923-0366
Toxanomy
Taxonomy Code 204E00000X
License State Wisconsin
License Number 5001856-015
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According to our database, Oral Surgery Assoc Ltd NPI is 1013020866, taxonomy code is 204E00000X and license number is 5001856-015, license state is located at Wisconsin. Oral Surgery Assoc Ltd physically located at 464 South Hickory Street, Fond Du Lac WI, 54935. NPI Number 1033115704 has the healthcare provider type.

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1013020866 NPI number is provided on an as is basis without warranty of any kind. 1013020866 is maintained by the National Plan & Provider Enumeration System. The contents of Oral Surgery Assoc Ltd are for informational purposes only.