Organization
THEDA CLARK OB HOSPITALISTS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC G EBERTS MD (PRESIDENT)
(920) 729-7105
Entity
Organization
Contact information
Practice address
130 2ND ST, NEENAH, WI 54956-2883
(920) 729-7105
(920) 831-8306
Mailing address
3232 N BALLARD RD STE 100, APPLETON, WI 54911-8804
(920) 729-7105
(920) 831-8306
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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