Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Agnesian Healthcare Inc

Organization Occupational Medicine Physician · NPI 1508579202

Agnesian Healthcare Inc is an Occupational Medicine Physician in Fond Du Lac, Wisconsin. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

430 E Division St
Fond Du Lac, WI 54935-4560
Phone: (920) 926-5676
Fax: (920) 926-8930
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Medicine Physician (primary) Taxonomy 2083X0100X

Record details

NPI number1508579202
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Grinnell — Vp-Finance · (608) 229-7885
Other names Ssm Health Fond Du Lac Regional Clinic
NPI enumeratedDecember 28, 2022
Last updated in NPPESDecember 28, 2022
Certification dateDecember 27, 2022
Mailing address1808 W Beltline Hwy, Madison, WI 53713-2334

Other providers in Fond Du Lac