Organization
AGNESIAN HEALTHCARE INC
Active
Organization
AGNESIAN HEALTHCARE INC
Active
Other names
SSM HEALTH FOND DU LAC REGIONAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
AMY GRINNELL (VP-FINANCE, CFO)
(608) 260-3586
Entity
Organization
Contact information
Practice address
835 PARKSIDE ST, RIPON, WI 54971-8505
(920) 745-3520
Mailing address
1808 W BELTLINE HWY, MADISON, WI 53713-2334
(608) 250-1593
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/15/2012
Last updated
06/05/2024
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