| Doctor Name: | ELECTA J FOX |
| NPI Number: | 1477750644 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA |
| License Number: | 212-023 |
| Business Practice Address: | 103 1st St Oconto, WI - 541531117 |
| Business Phone Number: | 9208351144 |
| Business Fax Number: | 9208351145 |
| Mailing Address: | 103 1st St, OCONTO |
| State: | WI |
| Postal Code: | 541531117 |
| Phone Number: | 9208351144 |
| Fax Number: | 9208351145 |
| NPI Enumeration Date: | 06/29/2007 |
| NPI Last Update Date: | 07/03/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 212-023 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |