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Contact Information

DESIRAE N ALSUM
430 E DIVISION ST
FOND DU LAC, WI54935-4560
 Phone: 920-926-4720
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for DESIRAE N ALSUM · (Female)

NPI Number 1912748401
Status Active
Credentials
Entity Individual
Enumeration date 06/06/2024
Last updated 07/15/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • WI License # 15506
  • WI License # F06240136
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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