| Winnebago Oral Surgery, S.c. | |
|
155 N. Rolling Meadows Dr. Fond Du Lac WI 54937-9482 | |
| (920) 921-5001 | |
| Not Available |
| Full Name | Winnebago Oral Surgery, S.c. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 155 N. Rolling Meadows Dr., Fond Du Lac, Wisconsin |
| Authorized Official Name and Position | Christopher S. Mcfarlane (PRESIDENT) |
| Authorized Official Contact | 9202314600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Winnebago Oral Surgery, S.c. 1875 West Pointe Dr. Oshkosh WI 54902 Ph: (920) 231-4600 | Winnebago Oral Surgery, S.c. 155 N. Rolling Meadows Dr. Fond Du Lac WI 54937-9482 Ph: (920) 921-5001 |
| NPI Number | 1396864229 |
|---|---|
| Provider Enumeration Date | 03/29/2007 |
| Last Update Date | 02/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396864229 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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