FOND DU LAC SURGERY CENTER, LLC; NPI #1104874247

Contact Information

FOND DU LAC SURGERY CENTER, LLC

421 CAMELOT DRIVE
FOND DU LAC, WI 54935

Phone: 920-926-5407
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center

Indicates primary specialty

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NPI Profile & details for FOND DU LAC SURGERY CENTER, LLC

NPI #	`1104874247`
LBN Legal business name	FOND DU LAC SURGERY CENTER, LLC
Authorized official	STEVEN LITTLE - (SVP & CFO)
Entity	Organization
Organization subpart ¹	No
Enumeration date	05/04/2006
Last updated	08/29/2007 - About 19 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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FOND DU LAC SURGERY CENTER, LLC

Contact Information

Specialty

Ambulatory Surgical

NPI Profile & details for FOND DU LAC SURGERY CENTER, LLC

Reviews for FOND DU LAC SURGERY CENTER, LLC