Individual
MARY V KIRKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
430 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-4200
Mailing address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-4200
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
41594-020
WI
Other
Enumeration date
07/11/2006
Last updated
10/22/2020
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