Thedacare Medical Center - New London, Inc.

NPI 1073611083 - Anesthesiology - 207L00000X

NPI Details
NPI 1073611083
Enumeration Date 09/21/2006
Last Updated 06/20/2014
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name WILLIAM WILLIAM
Position PRESIDENT/CEO
Phone (920) 531-2092
Fax (920) 531-2098
Practice Location
1405 MILL ST
NEW LONDON WI, 54961-2155, US
Phone (920) 531-2092
Fax (920) 531-2098
Business Location
1405 MILL ST
PO BOX 307
NEW LONDON WI, 54961-2155, US
Phone (920) 531-2092
Fax (920) 531-2098
Toxanomy
Taxonomy Code 207L00000X
License State
License Number
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According to our database, Thedacare Medical Center - New London, Inc. NPI is 1073611083, taxonomy code is 207L00000X Thedacare Medical Center - New London, Inc. physically located at 1405 Mill St, New London WI, 54961-2155. NPI Number 1033115704 has the healthcare provider type.

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1073611083 NPI number is provided on an as is basis without warranty of any kind. 1073611083 is maintained by the National Plan & Provider Enumeration System. The contents of Thedacare Medical Center - New London, Inc. are for informational purposes only.