NPI 1275943367

Thedacare Medical Center - Berlin, INC.

Organisation Anesthesiology Physician Berlin, WI

Practice location

Address: 225 Memorial Dr, Berlin, WI 54923-1243
Phone: (920) 361-5538
Fax: (920) 361-5499
Mailing address: PO Box 2759, Appleton, WI 54912-2759

Authorised official

Name: Mark S Thompson
Title: Chief Financial Officer
Phone: (920) 830-5885

Registered specialties

Anesthesiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207L00000X

Other Anesthesiology providers in Wisconsin →

Registry record

NPI: 1275943367
Entity type: Organization
NPI issued: 29 Apr 2014
Record last updated: 6 Sep 2019

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.