Fond Du Lac Psychiatry LLC
Fond Du Lac Psychiatry LLC is a Medical Specialty Clinic/Center in Fond Du Lac, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2009.
- Licensed in
- WI
- In the registry since
- 2009
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1020 S Main St Ste AFond Du Lac, WI 54935-6102
Phone: (920) 923-9054
Fax: (920) 322-9193
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Specialty Clinic/Center (primary) | Taxonomy 261QM2500X · Licence 32668-020 (WI) |
|---|
Record details
| NPI number | 1144466608 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jeffrey Junig — Owner · (920) 923-9054 |
| NPI enumerated | January 5, 2009 |
| Last updated in NPPES | January 5, 2009 |
| Mailing address | 1020 S Main St, Suite A, Fond Du Lac, WI 54935-6102 |