Fond Du Lac Surgery Center, LLC
NPI #1104874247 in Fond Du Lac, Wisconsin
Provider Information
- NPI Number
- 1104874247
- Entity Type
- Organization
- Organization Name
- Fond Du Lac Surgery Center, LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- May 4, 2006
- Last Updated
- Aug 29, 2007
Practice Location
- Address
- 421 CAMELOT DRIVE
- City
- Fond Du Lac
- State
- Wisconsin
- ZIP Code
- 54935
- Phone
- (920) 926-5407
Authorized Official
- Name
- STEVEN N LITTLE
- Title
- SVP & CFO
- Phone
- (920) 926-5402
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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