Organization Name: | FOND DU LAC COUNTY |
NPI Number: | 1285606178 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KIMBERLY MUELLER (FOND DU LAC COUNTY HEALTH OFFICER) |
Mailing Address: | 160 S Macy St Fond Du Lac |
State: | WI US |
Postal Code: | 549354241 |
Phone Number: | 9209293085 |
Fax Number: | 9209293102 |
NPI Enumeration Date: | 02/03/2006 |
NPI Last Update Date: | 02/21/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |