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Fond Du Lac Psychiatry Llc
Medical Specialty Clinic/Center in Fond Du Lac, Wisconsin
NPI 1144466608

Fond Du Lac Psychiatry Llc is a Medical Specialty Clinic/Center based in Fond Du Lac, WI and is specialized in Medical Specialty. Fond Du Lac Psychiatry Llc practices in Fond Du Lac, WI. The NPI Number for Fond Du Lac Psychiatry Llc is 1144466608 and holds a License No. 32668-020 (Wisconsin).

The current practice location address for Fond Du Lac Psychiatry Llc is 1020 S Main St, Fond Du Lac, WI and can be reached out via phone at 920-923-9054 and via fax at 920-322-9193.

Location: 1020 S Main St, Fond Du Lac, WI, 54935-6102
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1144466608
Provider Name
Fond Du Lac Psychiatry Llc
Credential
Provider Entity Type
Organization
Address
1020 S Main St, Fond Du Lac, WI, 54935-6102
Phone Number
920-923-9054
Fax Number
920-322-9193
Provider Enumeration Date
01/05/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
31769900 05 WI
institution
Provider Business Practice Location Address Details
Address
1020 S Main St
City
Fond Du Lac
State
Wisconsin
Zip
54935-6102
Phone Number
920-923-9054
Fax Number
920-322-9193
person
Provider Business Mailing Address Details
Address
1020 S Main St
City
Fond Du Lac
State
Wisconsin
Zip
54935-6102
Phone Number
920-923-9054
Fax Number
920-322-9193
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
32668-020 (Wisconsin)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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