NPI 1306516604
Thedacare Medical Center - Shawano, INC.
Practice location
- Address
- 100 County Road B, Shawano, WI 54166-7072
- Phone
- (715) 526-7300
- Fax
- (920) 993-5031
Authorised official
- Name
- William Flett
- Title
- Cfo
- Phone
- (920) 454-4013
Registered specialties
Community/Retail Pharmacy
Primary
Registry record
- NPI
- 1306516604
- Entity type
- Organization
- NPI issued
- 17 Sep 2021
- Record last updated
- 3 Jan 2024
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.