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

Thedacare Medical Center - Waupaca, Inc

Organization Emergency Medicine Physician · NPI 1780782680

Thedacare Medical Center - Waupaca, Inc is an Emergency Medicine Physician in Waupaca, Wisconsin. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
5
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

800 Riverside Dr
Waupaca, WI 54981-1943
Phone: (715) 258-1000
Fax: (715) 258-1626
Show map & directions

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

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X
Family Medicine Physician Taxonomy 207Q00000X
Critical Access Hospital Taxonomy 282NC0060X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1780782680
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Flett — Cfo · (920) 454-4013
Other names Riverside Medical Center, Inc.; Riverside Medical Center, Inc.
NPI enumeratedSeptember 21, 2006
Last updated in NPPESApril 12, 2024
Certification dateApril 12, 2024
Mailing address3 Neenah Ctr, Neenah, WI 54956-3070

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