Thedacare Medical Center - Wild Rose, Inc
Thedacare Medical Center - Wild Rose, Inc is a Non-Pharmacy Dispensing Site in Wild Rose, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.
- Licensed in
- WI
- In the registry since
- 2007
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
701 Grove AveWild Rose, WI 54984-6901
Phone: (920) 622-6013
Fax: (920) 774-1026
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Non-Pharmacy Dispensing Site (primary) | Taxonomy 332900000X · Licence 47322-20 (WI) |
|---|
Record details
| NPI number | 1710018817 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jenifer Danzeisen — Clinic Manager/ Director Of Nu · (920) 622-5564 |
| Other names | Waushara Family Physicians |
| NPI enumerated | March 8, 2007 |
| Last updated in NPPES | July 31, 2015 |
| Mailing address | Po Box 314, Wild Rose, WI 54984-0314 |
Other providers in Wild Rose
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Thedacare Medical Center - Wild Rose, Inc
601 Grove Ave, Wild Rose, WI 54984-6903 · (920) 622-3257