NPI 1184784159
Thedacare Medical Center-Berlin INC
Practice location
- Address
- N2934 Hwy 22 N, Wautoma, WI 54982-5267
- Phone
- (920) 787-5757
- Fax
- (920) 787-5382
- Mailing address
- N2934 Hwy 22 N, Wautoma, WI 54982
Authorised official
- Name
- Alissa Gies
- Title
- Pharmacist of Record
- Phone
- (920) 787-5757
Registered specialties (2)
Community/Retail Pharmacy
Primary
Pharmacy
Registry record
- NPI
- 1184784159
- Entity type
- Organization
- NPI issued
- 11 Dec 2006
- Record last updated
- 18 Apr 2017
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.