| NPI | 1154947737 |
|---|---|
| Doing Business As | FOND DU LAC REGIONAL CLINC |
| Entity Type | Organization |
| Authorized Contact | KATHERINE RUTH VERGOS President 920-926-4979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2020-06-19 |