Organization
FOND DU LAC COUNTY DCP CASE MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J R MUSUNURU M.D. (DIRECTOR, PSYCHIATRIST)
(920) 929-3500
Entity
Organization
Contact information
Practice address
459 E 1ST ST, FOND DU LAC, WI 54935-4505
(920) 929-3500
(920) 929-3129
Mailing address
459 E 1ST ST, FOND DU LAC, WI 54935-4505
(920) 929-3500
(920) 929-3129
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43072100
—
WI
Enumeration date
02/01/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us