Organization
AGNESIAN HEALTHCARE INC
Active
Other names
MERCURY FAMILY MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE K KRUPP (BUSINESS DIRECTOR)
(920) 907-3907
Entity
Organization
Contact information
Practice address
912 S HICKORY ST, FOND DU LAC, WI 54935-5530
(920) 929-7490
Mailing address
912 S HICKORY ST, FOND DU LAC, WI 54935-5530
(920) 929-7490
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
02/21/2007
Last updated
04/20/2008
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