| Thedacare, Incorporated | |
|
1080 W Fond Du Lac St Ripon WI 54971-9286 | |
| (920) 748-7000 | |
| (920) 748-7236 |
| Full Name | Thedacare, Incorporated |
|---|---|
| Speciality | Family Medicine |
| Location | 1080 W Fond Du Lac St, Ripon, Wisconsin |
| Authorized Official Name and Position | William Flett (CFO) |
| Authorized Official Contact | 9204544013 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thedacare, Incorporated 3 Neenah Ctr Neenah WI 54956-3070 Ph: (920) 830-5900 | Thedacare, Incorporated 1080 W Fond Du Lac St Ripon WI 54971-9286 Ph: (920) 748-7000 |
| NPI Number | 1730542408 |
|---|---|
| Provider Enumeration Date | 03/31/2016 |
| Last Update Date | 01/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730542408 | NPI | - | NPPES |
| WI2257 | Other | WI | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Chn Medical Center Ripon Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1080 W Fond Du Lac St, Ripon, WI 54971 Phone: 920-748-7000 Fax: 920-748-7236 |