NPI | 1477514537 |
---|---|
Doing Business As | FOND DU LAC REGIONAL CLINIC |
Entity Type | Organization |
Authorized Contact | STEVEN N LITTLE SVP & CFO 920-926-5402 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2006-03-29 |
Last Update Date | 2007-11-26 |