Graduated: 2025
NPI: 1164316196
Practice Locations (3)
THEDACARE, INCORPORATED
1818 N MEADE ST
APPLETON, WI 549113454
9207357645
FROEDTERT MANITOWOC MEDICAL GROUP, LLC
2300 WESTERN AVE
MANITOWOC, WI 542203712
9203202011
FROEDTERT MANITOWOC MEDICAL GROUP, LLC
1414 N TAYLOR DR
SHEBOYGAN, WI 530811988
9203202436
Source: CMS National Downloadable File, September 2026.