NPI | 1316212954 |
---|---|
Doing Business As | SSM HEALTH 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 | 2012-03-15 |
Last Update Date | 2022-01-24 |