Individual
EUGENIA-DANIELA HORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
421 CAMELOT DR, FOND DU LAC, WI 54935-8335
(920) 926-4939
Mailing address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8340
(920) 926-8370
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
48882
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34829200
—
WI
01
—
P00305948
RAILROAD MEDICARE NUMBER
WI
Enumeration date
03/21/2006
Last updated
04/12/2021
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