THEDACARE MEDICAL CENTER - SHAWANO, INC. is a rural health clinic center in Clintonville, WI. THEDACARE MEDICAL CENTER - SHAWANO, INC. NPI is 1801447925. The provider is registered as an organization entity type.
The provider's business location address is:
370 S MAIN ST
CLINTONVILLE, WI
ZIP 54929-632
Phone: (715) 823-5161
Fax: (715) 823-1386
The provider's authorized official is Mark Steven Thompson .
The authorized official title is Cfo and has the following contact phone number (920) 830-5885.
The CLIA number assigned to this NPI record is 52D0395677 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 9/20/2019 and was last updated on 12/30/2020.