NPI 1710206636
Thedacare Medical Center - Shawano, INC.
Practice location
- Address
- 6501 City West Pkwy, Eden Prairie, MN 55344-3248
- Phone
- (715) 526-7328
- Mailing address
- 100 County Road B, Shawano, WI 54166-7072
Authorised official
- Name
- William Flett
- Title
- Cfo
- Phone
- (920) 454-4013
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1710206636
- Entity type
- Organization
- NPI issued
- 18 May 2010
- 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.