| NPI | 1356424683 |
|---|---|
| Doing Business As | THEDACARE PHYSICIANS PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | WILLIAM FLETT CFO 920-454-4013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: WI 40901020) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2024-01-02 |