Organization
FOUNTAIN CITY SURGICAL ASSOCIATES S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BECKY K MCDOWELL (ACCOUNTS RECEIVABLES)
(920) 907-7400
Entity
Organization
Contact information
Practice address
210 WISCONSIN AMERICAN DR, SUITE 265, FOND DU LAC, WI 54935-2999
(920) 907-7400
(920) 907-7401
Mailing address
210 WISCONSIN AMERICAN DR, SUITE 265, FOND DU LAC, WI 54935-2999
(920) 907-7400
(920) 907-7401
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/14/2006
Last updated
12/04/2007
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