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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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