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THEDA CLARK OB HOSPITALISTS SC NPI 1295510196


NPI Information

NPI: 1295510196
Provider Name: THEDA CLARK OB HOSPITALISTS SC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
130 2ND ST
NEENAH, WI
ZIP 54956
Phone: (920) 729-7105
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THEDA CLARK OB HOSPITALISTS SC is an obstetrics gynecology in Neenah, WI. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. THEDA CLARK OB HOSPITALISTS SC NPI is 1295510196. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

130 2ND ST
NEENAH, WI
ZIP 54956-883
Phone: (920) 729-7105
Fax: (920) 831-8306

The provider's authorized official is Eric G Eberts .
The authorized official title is President and has the following contact phone number (920) 729-7105.

The enumeration date for this NPI number is 8/29/2023 and was last updated on 8/29/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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