OrganizationActive
Agnesian Healthcare Inc
NPI 1730162991 · Family Medicine Physician · Fond Du Lac, WI
Provider details
- NPI number
- 1730162991
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Amy Grinnell, Vp-Finance, Cfo(608) 260-3586
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Optometrist152W00000X
Eye and Vision Services Providers
- Anesthesiology Physician207L00000X
Allopathic & Osteopathic Physicians
- Dermatology Physician207N00000X
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Obstetrics & Gynecology Physician207V00000X
Allopathic & Osteopathic Physicians
- Ophthalmology Physician207W00000X
Allopathic & Osteopathic Physicians
Practice location
420 E Division St
Fond Du Lac, WI 54935-4560
Phone: (920) 923-7400
Approximate (ZIP-level) locationGet directions
Mailing address
1808 W Beltline Hwy
Madison, WI 53713-2334
Other names (DBA / former)
- Doing business as
- Ssm Health Fond Du Lac Regional Clinic
Registry dates
- Enumerated
- 2005-11-22
- Last updated
- 2024-06-05
- Certified
- 2024-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.