Organization
THEDACARE REGIONAL MEDICAL CENTER - APPLETON, INC.
Active
Parent organization
THEDACARE
Other names
Appleton Medical Center, Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
THEDACARE
Authorized official
MR. WILLIAM FLETT (CFO)
(920) 454-4013
Entity
Organization
Contact information
Practice address
1818 N MEADE ST, APPLETON, WI 54911-3454
(920) 731-4101
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 830-5900
(920) 830-5910
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
52D0397435
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100032956
—
WI
Enumeration date
11/27/2013
Last updated
01/02/2024
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