| Mercury Family Medical Center | |
|
912 S Hickory St Fond Du Lac WI 54935-5530 | |
| (920) 929-7490 | |
| Not Available |
| Full Name | Mercury Family Medical Center |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 912 S Hickory St, Fond Du Lac, Wisconsin |
| Authorized Official Name and Position | Stephanie K Krupp (BUSINESS DIRECTOR) |
| Authorized Official Contact | 9209073907 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercury Family Medical Center 912 S Hickory St Fond Du Lac WI 54935-5530 Ph: (920) 929-7490 | Mercury Family Medical Center 912 S Hickory St Fond Du Lac WI 54935-5530 Ph: (920) 929-7490 |
| NPI Number | 1356476543 |
|---|---|
| Provider Enumeration Date | 02/21/2007 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356476543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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