Shopko Stores Operating Co Llc

Specialty details in registry · Appleton, WI

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At a glance

W3208 Van Roy Rd, Appleton, WI 54915

NPPES record updated Aug 15, 2008. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
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Insurance participation and appointment availability are not established by these public records.

Practice location

W3208 Van Roy Rd
Appleton, WI 54915
Professional details: NPI, taxonomy & registry record
NPI1760665160
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
3336C0003X
Enumeration date
Dec 10, 2007
Record updated
Aug 15, 2008
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

332B00000X

Specialty details in registry

333600000X

Specialty details in registry

3336C0003X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

W3208 Van Roy Rd
Appleton, WI 54915
Phone
(920) 111-1111
Mailing address
W3208 VAN ROY RD

APPLETON, WI 54915
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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