Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FOND DU LAC SURGERY CENTER, LLC
Active OrganizationFOND DU LAC SURGERY CENTER, LLC is a Ambulatory Surgical Center organization located in FOND DU LAC, Wisconsin. NPI 1104874247 is currently active in the NPPES registry. Verify at CMS.
Ambulatory Surgical Center · FOND DU LAC, WI
Registration Details
- NPI Number
- 1104874247
- Provider Type
- Organization
- NPI Issued
- May 4, 2006 (20.287951112042 yrs)
- Last Updated
- Aug 29, 2007
Practice Information
- Address
-
421 CAMELOT DRIVEFOND DU LAC, WI, 54935Browse WI providers · Browse ZIP 54935
- Phone
- 9209265407
- Primary Specialty
-
Ambulatory Surgical Center
261QA1903X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.