Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Theda Clark OB Hospitalists SC

Organization Obstetrics & Gynecology Physician · NPI 1295510196

Theda Clark OB Hospitalists SC is an Obstetrics & Gynecology Physician in Neenah, Wisconsin. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

130 2nd St
Neenah, WI 54956-2883
Phone: (920) 729-7105
Fax: (920) 831-8306
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X

Record details

NPI number1295510196
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eric Eberts — President · (920) 729-7105
NPI enumeratedAugust 29, 2023
Last updated in NPPESAugust 29, 2023
Certification dateAugust 25, 2023
Mailing address3232 N Ballard Rd Ste 100, Appleton, WI 54911-8804

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