Organization
FOUNTAIN CITY SURGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD F VAN BEEK M.D. (GENERAL SURGEON)
(920) 907-7400
Entity
Organization
Contact information
Practice address
210 WISCONSIN AMERICAN DR, FOND DU LAC, WI 54937-2999
(920) 907-7400
(920) 907-7401
Mailing address
210 WISCONSIN AMERICAN DR, FOND DU LAC, WI 54937-2999
(920) 904-7400
(920) 907-7401
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
23895
WI
Other
Enumeration date
12/31/2010
Last updated
12/31/2010
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