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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FOND DU LAC PSYCHIATRY LLC

Active Organization

FOND DU LAC PSYCHIATRY LLC is a Medical Specialty Clinic organization located in FOND DU LAC, Wisconsin. NPI 1144466608 is currently active in the NPPES registry. Verify at CMS.

Medical Specialty Clinic · FOND DU LAC, WI

Registration Details

NPI Number
1144466608
Provider Type
Organization
NPI Issued
Jan 5, 2009 (17.639191117582 yrs)
Last Updated
Jan 5, 2009
License
32668-020 (WI)

Practice Information

Address
1020 S MAIN ST
SUITE A
FOND DU LAC, WI, 549356102
Browse WI providers · Browse ZIP 54935
Phone
9209239054
Fax
9203229193
Primary Specialty
Medical Specialty Clinic
261QM2500X
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.