Thedacare, Inc

NPI 1063569002 - General Practice - 208D00000X

NPI Details
NPI 1063569002
Enumeration Date 01/04/2007
Last Updated 01/19/2010
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GINA GINA
Position MANAGER
Phone (920) 380-4999
Fax (920) 380-4961
Practice Location
2809 N. PARK DRIVE LANE
APPLETON WI, 54911, US
Phone (920) 380-4999
Fax (920) 380-4961
Business Location
2809 N. PARK DRIVE LANE
APPLETON WI, 54911, US
Phone (920) 380-4999
Fax (920) 380-4961
Toxanomy
Taxonomy Code 208D00000X
License State
License Number
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According to our database, Thedacare, Inc NPI is 1063569002, taxonomy code is 208D00000X Thedacare, Inc physically located at 2809 N. Park Drive Lane, Appleton WI, 54911. NPI Number 1033115704 has the healthcare provider type.

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1063569002 NPI number is provided on an as is basis without warranty of any kind. 1063569002 is maintained by the National Plan & Provider Enumeration System. The contents of Thedacare, Inc are for informational purposes only.