Fond Du Lac County

Practice location

Address

459 E 1st St, Fond Du Lac, WI 54935-4505

Phone

(920) 929-3500

Authorised official

Name

J R Musunuru

Title

Clinical Director

Phone

(920) 929-3500

Registered specialties (2)

Registry record

NPI

1235252024

Entity type

Organization

NPI issued

9 Apr 2007

Record last updated

27 Nov 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.