Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Northeast Wisconsin Surgical Assistants, LLC

Organization Physician Assistant · NPI 1033745930

Northeast Wisconsin Surgical Assistants, LLC provides Physician Assistant services in Appleton, Wisconsin. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4321 W College Ave Ste 200
Appleton, WI 54914-3968
Phone: (210) 598-4277
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1033745930
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roxanna Campbell — Director Of Client Experience · (210) 598-4277
NPI enumeratedMarch 23, 2020
Last updated in NPPESAugust 12, 2022
Certification dateAugust 12, 2022
Mailing address1141 N Loop 1604 E #105-612, San Antonio, TX 78232

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