Thedacare Aco, LLC
NPI #1033519046 in Appleton, Wisconsin
Provider Information
- NPI Number
- 1033519046
- Entity Type
- Organization
- Organization Name
- Thedacare Aco, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- THEDACARE, INC.
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Aug 27, 2014
- Last Updated
- Aug 27, 2014
Practice Location
Authorized Official
- Name
- MR. TIM OLSON, CFO
- Title
- CFO
- Phone
- (920) 830-5950
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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