| Doctor Name: | MS. ABIGAIL THOMSON FOX |
| NPI Number: | 1396032009 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C, MPAS |
| License Number: | 2781-23 |
| Business Practice Address: | 7071 S 13th St Suite 103 Oak Creek, WI - 531541466 |
| Business Phone Number: | 4147646080 |
| Business Fax Number: | 4147646091 |
| Mailing Address: | 7071 S 13th St, Suite 103 OAK CREEK |
| State: | WI |
| Postal Code: | 531541466 |
| Phone Number: | 4147646080 |
| Fax Number: | 4147646091 |
| NPI Enumeration Date: | 07/01/2011 |
| NPI Last Update Date: | 07/01/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 2781-23 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |