Graduated: 2024
NPI: 1225861578
Practice Locations (3)
THEDACARE, INCORPORATED
2400 E CAPITOL DR
APPLETON, WI 549118728
9207202300
THEDACARE, INCORPORATED
2500 E CAPITAL DR
APPLETON, WI 549118735
THEDACARE, INCORPORATED
4480 W SPENCER ST
APPLETON, WI 54915
9207384800
Source: CMS National Downloadable File, September 2026.