Organization
THEDACARE MEDICAL CENTER - WILD ROSE, INC
Active
Parent organization
THEDACARE MEDICAL CENTER - WILD ROSE, INC
Other names
Wild Rose Community Memorial Hospital Inc
Organization subpart
Yes
Provider details
NPI number
Legal business name
THEDACARE MEDICAL CENTER - WILD ROSE, INC
Authorized official
MR. WILLIAM FLETT (CFO)
(920) 454-4013
Entity
Organization
Contact information
Practice address
601 GROVE AVE, WILD ROSE, WI 54984-6903
(920) 622-3257
(920) 622-6021
Mailing address
6501 CITY WEST PKWY, EDEN PRAIRIE, MN 55344-3248
(952) 653-2525
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
1004
WI
Other
Enumeration date
07/14/2017
Last updated
01/03/2024
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