Information Request Form

Your Name    
Street Address    
City, State, Zip Code
Home Phone    
Work Phone Ext.
Cell Phone    
Fax    
Email Address    
Are you a current patient? Yes No    
How did you hear about our practice? Other
Questions/ Comments
 

Directions

From 41 South (traveling north):
-Take Main Street "G" exit
-Take a right onto Main St. (you will pass Mc Donald's on the left and Festival Foods on the right.)
-At 3rd set of stop lights, take a left onto Ninth St. (Walgreens, Shell Gas Station, Johnson Bank intersection.)
-About 1 block down, we are on the left hand side of the street, next to the Associated Auto Bank.

From 41 North (traveling south):
-Take Main Street "G"exit
-Take a left onto Main St. (you will pass Mc Donald's on the left and Festival Foods on the right.)
-At 3rd set of stop lights, take a left onto Ninth St. (Walgreens, Shell Gas Station, Johnson Bank intersection.)
-About 1 block down, we are on the left hand side of the street, next to the Associated Auto Bank.


277 N. Ninth Street
De Pere, WI 54115
Phone: 920-336-6594
Fax: 920-336-7132
Email: info@deperesmiles.com

Home | Meet Dr. Fritsche & Our Staff | Our Services | Insurance and Payment Options | Registration Forms | Contact Us

277 N. Ninth Street | De Pere, WI 54115 | Phone: 920-336-6594 | Fax: 920-336-7132

 

Website created by Fox Valley Web Design