TEDDY THOR

APPLETON, WI
NPI1831060060
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: WI  17425-33)
Enumeration Date2025-09-12
Last Update Date2025-09-12
Business Address
-- TEDDY THOR
900 E EDGEWOOD DR
APPLETON, WI 54913-8912
Phone number: 920-651-5788
Mailing Address
-- TEDDY THOR
900 E EDGEWOOD DR
APPLETON, WI 54913-8912
Phone number: