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Fond Du Lac County — NPI 1407785207, Fond Du Lac, WI | NPI Central

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NPI 1407785207

OrganizationActive

Fond Du Lac County

NPI 1407785207 · Long-Term Care Clinical Nurse Specialist · Fond Du Lac, WI

Provider details

NPI number: 1407785207
Entity type: Organization
Primary specialty: Long-Term Care Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
Organization subpart: No
Authorized official: Michelle Paul, Business Operations Division Manage(920) 929-3446

Specialties & taxonomies

Long-Term Care Clinical Nurse SpecialistPrimary364SL0600X
Physician Assistants & Advanced Practice Nursing Providers

Practice location

79 E 9th St

Fond Du Lac, WI 54935-5056

Phone: (920) 929-3482

Approximate (ZIP-level) locationGet directions

More WI providers

Mailing address

79 E 9th St

Fond Du Lac, WI 54935-5056

Other names (DBA / former)

Doing business as: Susan M Lopau Memorial Shelter Care

Registry dates

Enumerated: 2026-05-18
Last updated: 2026-05-18
Certified: 2026-05-12

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.