Organization
THEDACARE MEDICAL CENTER - SHAWANO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM FLETT (CFO)
(920) 454-4013
Entity
Organization
Contact information
Practice address
370 S MAIN ST, CLINTONVILLE, WI 54929-1632
(715) 823-5161
(715) 823-1386
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 454-4229
(920) 993-5001
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/20/2019
Last updated
05/08/2024
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