OrganizationActive
Agnesian Healthcare Inc
NPI 1508579202 · Occupational Medicine Physician · Fond Du Lac, WI
Provider details
- NPI number
- 1508579202
- Entity type
- Organization
- Primary specialty
- Occupational Medicine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Amy Grinnell, Vp-Finance
Practice location
430 E Division St
Fond Du Lac, WI 54935-4560
Phone: (920) 926-5676
Fax: (920) 926-8930
Mailing address
1808 W Beltline Hwy
Madison, WI 53713-2334
Registry dates
- Enumerated
- 2022-12-28
- Last updated
- 2022-12-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.