Whalio Doctors

NPI 1356424683

Thedacare, Incorporated

Organisation Non-Pharmacy Dispensing Site Appleton, WI

Practice location

Address
2701 E Enterprise Ave, Appleton, WI 54913-7729
Phone
(920) 954-2551
Fax
(920) 954-2554

Authorised official

Name
William Flett
Title
Cfo
Phone
(920) 454-4013

Registered specialties

Non-Pharmacy Dispensing Site Primary
Suppliers Taxonomy 332900000X Licence 40901020 (WI)

Registry record

NPI
1356424683
Entity type
Organization
NPI issued
23 Oct 2006
Record last updated
2 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.