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

Thedacare Medical Center - Shawano, Inc

Organization Non-Pharmacy Dispensing Site · NPI 1710206636

Thedacare Medical Center - Shawano, Inc is a Non-Pharmacy Dispensing Site in Eden Prairie, Minnesota. Registered with an NPI since 2010.

In the registry since
2010
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6501 City West Pkwy
Eden Prairie, MN 55344-3248
Phone: (715) 526-7328
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X

Record details

NPI number1710206636
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationThedacare Medical Center - Shawano, Inc
Authorized official William Flett — Cfo · (920) 454-4013
Other names Shawano Medical Center, Inc
NPI enumeratedMay 18, 2010
Last updated in NPPESJanuary 3, 2024
Certification dateJanuary 3, 2024
Mailing address100 County Road B, Shawano, WI 54166-7072

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