Fountain City Surgical Associates

NPI #1487958765 in Fond Du Lac, Wisconsin

Provider Information

NPI Number: 1487958765
Entity Type: Organization
Organization Name: Fountain City Surgical Associates
Primary Specialty: Surgery
Enumeration Date: Dec 31, 2010
Last Updated: Dec 31, 2010

Practice Location

Address: 210 WISCONSIN AMERICAN DR
City: Fond Du Lac
State: Wisconsin
ZIP Code: 54937-2999
Phone: (920) 907-7400

Authorized Official

Name: DR. DONALD F VAN BEEK, M.D.
Title: GENERAL SURGEON
Phone: (920) 907-7400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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