| Mdc North Fondy Sc | |
|
825 Prospect Ave North Fond Du Lac WI 54937-1365 | |
| (920) 923-0310 | |
| Not Available |
| Full Name | Mdc North Fondy Sc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 825 Prospect Ave, North Fond Du Lac, Wisconsin |
| Authorized Official Name and Position | William Mauthe (OWNER) |
| Authorized Official Contact | 9209486407 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mdc North Fondy Sc 101 Camelot Dr Suite 3 Fond Du Lac WI 54935-8048 Ph: (920) 948-6407 | Mdc North Fondy Sc 825 Prospect Ave North Fond Du Lac WI 54937-1365 Ph: (920) 923-0310 |
| NPI Number | 1225470842 |
|---|---|
| Provider Enumeration Date | 07/24/2013 |
| Last Update Date | 07/24/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225470842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |