NPI 1023094885

Mark S Kermgard, MD

Practitioner Emergency Medicine Physician Fond Du Lac, WI

Practice location

Address: 145 N Main St, Fond Du Lac, WI 54935-3423
Phone: (920) 926-8492
Fax: (920) 926-8903

Registered specialties (2)

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 34936020 (WI)

Other Emergency Medicine providers in Wisconsin →

Emergency Medical Services (Emergency Medicine) Physician

Allopathic & Osteopathic Physicians Taxonomy 207PE0004X Licence 36091592 (IL)

Registry record

NPI: 1023094885
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Dec 2005
Record last updated: 16 Aug 2022

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.