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

Thedacare Medical Center - Shawano, Inc

Organization Clinical Medical Laboratory · NPI 1720493125

Thedacare Medical Center - Shawano, Inc is a Clinical Medical Laboratory in Shawano, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2014.

Licensed in
WI
In the registry since
2014
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

100 County Road B
Shawano, WI 54166-7072
Phone: (715) 526-2111
Fax: (715) 526-7308
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X · Licence 1051 (WI)

Record details

NPI number1720493125
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Flett — Cfo · (920) 454-4013
Other names Shawano Medical Center, Inc.; Shawano Medical Center, Inc.
NPI enumeratedJune 24, 2014
Last updated in NPPESJanuary 3, 2024
Certification dateJanuary 3, 2024
Mailing address3 Neenah Ctr, Neenah, WI 54956-3070