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NPI Code Detail

MEDICARE: ANESTHESIA SERVICES OF THE FOX VALLEY SC

MEDICARE: ANESTHESIA SERVICES OF THE FOX VALLEY SC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician27019WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750385597
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANESTHESIA SERVICES OF THE FOX VALLEY SC
Provider Business Mailing Address
First Line : 50 PEARL AVE STE 203
Second Line :
City : OSHKOSH
State : WI
Zip : 54901-4811
Country : US
Telephone Number : 920-426-2211
Fax Number : 920-426-2231
Provider Business Practice Location Address
First Line : 500 S OAKWOOD RD
Second Line :
City : OSHKOSH
State : WI
Zip : 54904-7944
Country : US
Telephone Number : 920-236-2000
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. JOHN M LESCHKE
Credential : MD
Telephone Number : 920-426-2211
Provider Enumeration Date : 06/09/2005
Last Update Date : 01/18/2024

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Directions to “ANESTHESIA SERVICES OF THE FOX VALLEY SC ” Practice Location

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