| NPI | 1154383446 |
|---|---|
| Doing Business As | FOND DU LAC REGIONAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | KATHERINE VERGOS President 920-926-4979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2019-05-08 |