NPI 1487703880

Wisconsin Institute of Plastic Surgery Sc

Organisation Plastic Surgery Physician Appleton, WI

Practice location

Address: 2700 E Enterprise Ave STE a, Appleton, WI 54913-7656
Phone: (920) 965-1234
Fax: (920) 965-1232
Mailing address: 2200 Dickinson Rd STE 17b, De Pere, WI 54115-4056

Authorised official

Name: Wendy J Justus
Title: Practice Manager
Phone: (920) 965-1234

Registered specialties (2)

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X

Other Plastic Surgery providers in Wisconsin →

Ophthalmology Physician

Allopathic & Osteopathic Physicians Taxonomy 207W00000X

Other Ophthalmology providers in Wisconsin →

Registry record

NPI: 1487703880
Entity type: Organization
NPI issued: 9 Jan 2007
Record last updated: 21 Oct 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.