NPI 1295510196

Theda Clark Ob Hospitalists Sc

Organisation Obstetrics & Gynecology Physician Neenah, WI

Practice location

Address: 130 2nd St, Neenah, WI 54956-2883
Phone: (920) 729-7105
Fax: (920) 831-8306
Mailing address: 3232 N Ballard Rd STE 100, Appleton, WI 54911-8804

Authorised official

Name: Eric G Eberts
Title: President
Phone: (920) 729-7105

Registered specialties

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X

Other Obstetrics & Gynecology providers in Wisconsin →

Registry record

NPI: 1295510196
Entity type: Organization
NPI issued: 29 Aug 2023
Record last updated: 29 Aug 2023

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.