Organization · Type 2 NPI
Fond Du Lac Surgery Center, LLC
Ambulatory Surgical Clinic/Center · Fond Du Lac, WI
NPI number
1104874247
Active
Practice location
421 Camelot Drive
Fond Du Lac, WI 54935
Mailing address
430 E Division St
Fond Du Lac, WI 54935-4560
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | None listed |
Ambulatory Surgical Clinic/Center: Definition to come...
Another provider at this address
About NPI 1104874247
Fond Du Lac Surgery Center, LLC's National Provider Identifier is 1104874247, issued on May 4, 2006. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Fond Du Lac, WI. The record was last updated on Aug 29, 2007.