| Thedacare Physicians Shawano | |
|
117 E Green Bay St Shawano WI 54166-2443 | |
| (920) 996-3298 | |
| Not Available |
| Full Name | Thedacare Physicians Shawano |
|---|---|
| Speciality | Family Medicine |
| Location | 117 E Green Bay St, Shawano, Wisconsin |
| Authorized Official Name and Position | Jennifer L Thern (REIMBURSMENT SPECIALIST) |
| Authorized Official Contact | 9209963298 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thedacare Physicians Shawano Po Box 8003 Appleton WI 54912-8003 Ph: () - | Thedacare Physicians Shawano 117 E Green Bay St Shawano WI 54166-2443 Ph: (920) 996-3298 |
| NPI Number | 1437272135 |
|---|---|
| Provider Enumeration Date | 04/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437272135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Shawano County Health Department Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 311 N Main St Rm 7, Shawano, WI 54166 Phone: 715-526-4808 Fax: 715-524-5792 | |
Pai Participant 23 Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1475 Birch Hill Ln, Shawano, WI 54166 Phone: 715-526-3161 | |
Thedacare Medical Center - Shawano, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 715-524-2161 Fax: 715-524-8164 |