Dalzell, Mary J

Dalzell, Mary J is an individual health care provider with primary practice located at 420 E Division St , Fond Du Lac WI 54935-4560. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Dalzell, Mary J can be contacted via phone (920) 926-8230.

Contact Information

Primary practice address
420 E Division St Fond Du Lac WI 54935-4560
Phone: (920) 926-8230
Fax: (920) 926-8997
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5008 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 5008 Wisconsin

Profile Details

NPI number 1942552658
LBN Legal business name Dalzell, Mary J
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2012
Last updated Apr 23rd, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942552658 NPPES
Wisconsin MEDICAID 1942552658

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