Organization
THEDACARE, INC
Active
Parent organization
THEDACARE, INC
Other names
ThedaCare at Work
Organization subpart
Yes
Provider details
NPI number
Legal business name
THEDACARE, INC
Authorized official
WILLIAM FLETT (CFO)
(920) 454-4013
Entity
Organization
Contact information
Practice address
2809 N. PARK DRIVE LANE, APPLETON, WI 54911
(920) 380-4999
(920) 380-4961
Mailing address
2809 N. PARK DRIVE LANE, APPLETON, WI 54911
(920) 380-4999
(920) 380-4961
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
363LX0106X
Occupational Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/04/2007
Last updated
01/02/2024
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