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Organization
THEDACARE REGIONAL MEDICAL CENTER-NEENAH, INC
Active
Organization
THEDACARE REGIONAL MEDICAL CENTER-NEENAH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK STEVEN THOMPSON (CFO)
(920) 830-5885
Entity
Organization
Contact information
Practice address
1516 S COMMERCIAL ST, NEENAH, WI 54956-4802
(920) 729-3350
Mailing address
PO BOX 2759, APPLETON, WI 54912-2759
(920) 731-4101
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41230200
—
WI
Enumeration date
10/23/2008
Last updated
09/17/2019
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