| NPI | 1710206636 |
|---|---|
| Former Legal Business Name | SHAWANO MEDICAL CENTER, INC |
| Entity Type | Organization |
| Authorized Contact | WILLIAM FLETT CFO 920-454-4013 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2024-01-03 |