| NPI | 1508579202 |
|---|---|
| Doing Business As | SSM HEALTH FOND DU LAC REGIONAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | AMY JO GRINNELL VP Finance 608-229-7885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine |
| Enumeration Date | 2022-12-28 |
| Last Update Date | 2022-12-28 |