Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Northeast Wisconsin Surgical Assistants, LLC

Organization Physician Assistant · NPI 1033745930

Northeast Wisconsin Surgical Assistants, LLC is a Physician Assistant 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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