| NPI | 1437272135 |
|---|---|
| Doing Business As | THEDACARE PHYSICIANS SHAWANO |
| Entity Type | Organization |
| Authorized Contact | JENNIFER L THERN Reimbursment Specialist 920-996-3298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-08-22 |