THEDACARE MEDICAL CENTER - WILD ROSE, INC is a non pharmacy dispensing site in Wild Rose, WI. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) THEDACARE MEDICAL CENTER - WILD ROSE, INC NPI is 1710018817. The provider is registered as an organization entity type.
The provider Is Doing Business As Waushara Family Physicians.
The provider's business location address is:
701 GROVE AVE
WILD ROSE, WI
ZIP 54984-901
Phone: (920) 622-6013
Fax: (920) 774-1026
The provider's authorized official is Jenifer Danzeisen .
The authorized official title is Clinic Manager/ Director Of Nu and has the following contact phone number (920) 622-5564.
The CLIA number assigned to this NPI record is 52D0398014 - hospital with a certificate type of Certificate of Compliance.
The enumeration date for this NPI number is 3/8/2007 and was last updated on 7/31/2015.