| NPI | 1730162991 |
|---|---|
| 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 | 207Q00000X Family Medicine |
| Additional Taxonomies | 152W00000X Optometrist |
| 207L00000X Anesthesiology | |
| 207N00000X Dermatology | |
| 207R00000X Internal Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 207W00000X Ophthalmology | |
| 207X00000X Orthopaedic Surgery | |
| 207Y00000X Otolaryngology | |
| 208000000X Pediatrics | |
| 208100000X Physical Medicine & Rehabilitation | |
| 208600000X Surgery | |
| 208800000X Urology | |
| 213E00000X Podiatrist | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2023-05-24 |