Organization
THEDACARE MEDICAL CENTER - NEW LONDON, INC.
Active
Other names
CRNA's
Organization subpart
No
Provider details
NPI number
Authorized official
MARK STEVEN THOMPSON (CFO)
(920) 830-5885
Entity
Organization
Contact information
Practice address
1405 MILL ST, NEW LONDON, WI 54961-2155
(920) 531-2092
(920) 531-2098
Mailing address
1405 MILL ST, PO BOX 307, NEW LONDON, WI 54961-2155
(920) 531-2092
(920) 531-2098
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
09/21/2006
Last updated
09/26/2019
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