Thedacare, Incorporated

NPI #1356424683 in Appleton, Wisconsin

Provider Information

NPI Number
1356424683
Entity Type
Organization
Organization Name
Thedacare, Incorporated
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Oct 23, 2006
Last Updated
Jan 2, 2024

Practice Location

Address
2701 E ENTERPRISE AVE
ZIP Code
54913-7729
Phone
(920) 954-2551

Authorized Official

Name
WILLIAM FLETT
Title
CFO
Phone
(920) 454-4013

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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