Fond Du Lac Surgery Center, Llc

NPI 1104874247 - Clinic/Center - 261QA1903X

NPI Details
NPI 1104874247
Enumeration Date 05/04/2006
Last Updated 08/29/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name STEVEN N STEVEN
Position SVP & CFO
Phone (920) 926-5407
Fax
Practice Location
421 CAMELOT DRIVE
FOND DU LAC WI, 54935, US
Phone (920) 926-5407
Fax
Business Location
430 E DIVISION ST
FOND DU LAC WI, 54935-4560, US
Phone (920) 926-4472
Fax (920) 926-8885
Toxanomy
Taxonomy Code 261QA1903X
License State
License Number
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According to our database, Fond Du Lac Surgery Center, Llc NPI is 1104874247, taxonomy code is 261QA1903X Fond Du Lac Surgery Center, Llc physically located at 421 Camelot Drive, Fond Du Lac WI, 54935. NPI Number 1033115704 has the healthcare provider type.

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1104874247 NPI number is provided on an as is basis without warranty of any kind. 1104874247 is maintained by the National Plan & Provider Enumeration System. The contents of Fond Du Lac Surgery Center, Llc are for informational purposes only.