| NPI | 1972749992 |
|---|---|
| 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 | 2008-12-22 |
| Last Update Date | 2009-11-24 |