Organization
FOND DU LAC COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY MUELLER RN, MSN (FOND DU LAC COUNTY HEALTH OFFICER)
(920) 929-3085
Entity
Organization
Contact information
Practice address
160 S MACY ST, FOND DU LAC, WI 54935-4241
(920) 929-3085
(920) 929-3102
Mailing address
160 S MACY ST, FOND DU LAC, WI 54935-4241
(920) 929-3085
(920) 929-3102
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41850700
—
WI
05
—
44005100
—
WI
Enumeration date
02/03/2006
Last updated
02/21/2013
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