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HomeProvidersAGNESIAN HEALTHCARE INC

Family Medicine

AGNESIAN HEALTHCARE INC

Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.

Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.

Public record

NPI 1730162991 · enumerated 2005-11-22 · record updated 2024-06-05. Source: CMS NPPES. A listing is not a TRICARE network approval.

NPPES record Google Maps Apple Maps OpenStreetMap

Authorized official: AMY GRINNELL, VP-Finance, CFO · (608) 260-3586

Other names: SSM HEALTH FOND DU LAC REGIONAL CLINIC

Addresses and phones

Practice location 420 E DIVISION ST, FOND DU LAC, WI, 54935-4560 (920) 923-7400 Google Maps Apple Maps OpenStreetMap
Mailing address 1808 W BELTLINE HWY, MADISON, WI, 53713-2334 (608) 250-1593 Google Maps Apple Maps OpenStreetMap

Specialties

Optometrist 152W00000X
Anesthesiology 207L00000X
Dermatology 207N00000X
Family Medicine 207Q00000X · Primary
Internal Medicine 207R00000X
Obstetrics & Gynecology 207V00000X
Ophthalmology 207W00000X
Orthopaedic Surgery 207X00000X
Otolaryngology 207Y00000X
Pediatrics 208000000X
Physical Medicine & Rehabilitation 208100000X
Surgery 208600000X
Urology 208800000X
Podiatrist 213E00000X
Durable Medical Equipment & Medical Supplies 332B00000X

Published links

CONNECT URL

In this directory

WI Fond du Lac County Fond Du Lac Family Medicine

Locations and evidence

Practice location FOND DU LAC, WI, 549354560
Accepting new patientsNot reportedCMS NPPES · September 30, 2026

Plan acceptance

No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.