Organization
THEDACARE MEDICAL CENTER - SHAWANO, INC.
Active
Parent organization
THEDACARE MEDICAL CENTER - SHAWANO, INC.
Other names
SHAWANO MEDICAL CENTER, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
THEDACARE MEDICAL CENTER - SHAWANO, INC.
Authorized official
WILLIAM FLETT (CFO)
(920) 454-4013
Entity
Organization
Contact information
Practice address
6501 CITY WEST PKWY, EDEN PRAIRIE, MN 55344-3248
(715) 526-7328
Mailing address
100 COUNTY ROAD B, SHAWANO, WI 54166-7072
(715) 526-7328
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
05/18/2010
Last updated
01/03/2024
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