NPI 1033519046

Thedacare Aco, LLC

Organisation Exclusive Provider Organization Appleton, WI

Practice location

Address: 122 E College Ave, Appleton, WI 54911-5794
Phone: (920) 830-5950
Fax: (920) 830-5910

Authorised official

Name: Tim Olson
Title: Cfo
Phone: (920) 830-5950

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

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Registry record

NPI: 1033519046
Entity type: Organization
NPI issued: 27 Aug 2014
Record last updated: 27 Aug 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.