| Doll And Associates | |
|
40 Camelot Dr Fond Du Lac WI 54935-8049 | |
| (920) 907-8201 | |
| (920) 907-8209 |
| Full Name | Doll And Associates |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 40 Camelot Dr, Fond Du Lac, Wisconsin |
| Authorized Official Name and Position | Steven N Little (SR VP & CEO) |
| Authorized Official Contact | 9209265402 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Doll And Associates 40 Camelot Dr Fond Du Lac WI 54935-8049 Ph: (920) 907-8201 | Doll And Associates 40 Camelot Dr Fond Du Lac WI 54935-8049 Ph: (920) 907-8201 |
| NPI Number | 1841320884 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 02/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841320884 | NPI | - | NPPES |
| 391995430017 | Other | WI | BCBS GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 2226 (Wisconsin) | Primary |
Fond Du Lac County Department Of Community Programs Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 459 E 1st St, Fond Du Lac, WI 54935 Phone: 920-929-3500 Fax: 920-929-3129 | |
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