| NPI | 1962748319 |
|---|---|
| Doing Business As | FOND DU LAC REGIONAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | STEVEN N LITTLE President & CEO 920-926-5402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-12-12 |
| Last Update Date | 2012-12-12 |