Fountain City Surgical Associates S.c.

NPI #1427153436 in Fond Du Lac, Wisconsin

Provider Information

NPI Number: 1427153436
Entity Type: Organization
Organization Name: Fountain City Surgical Associates S.c.
Primary Specialty: Specialist
Enumeration Date: Sep 14, 2006
Last Updated: Dec 4, 2007

Practice Location

Address: 210 WISCONSIN AMERICAN DR
Address 2: SUITE 265
City: Fond Du Lac
State: Wisconsin
ZIP Code: 54935-2999
Phone: (920) 907-7400

Authorized Official

Name: MRS. BECKY K MCDOWELL
Title: ACCOUNTS RECEIVABLES
Phone: (920) 907-7400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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