IndividualActive
Thaddeus Holgado, C.O.
NPI 1699140814 · Orthotist · Mequon, WI
Provider details
- NPI number
- 1699140814
- Entity type
- Individual
- Primary specialty
- OrthotistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- C.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 213000212 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
12075 Corporate Pkwy
Suite 120
Mequon, WI 53092-2665
Phone: (844) 447-5894
Approximate (ZIP-level) locationGet directions
Mailing address
720 E. Butterfield Road
Lombard, IL 60148
Registry dates
- Enumerated
- 2015-12-14
- Last updated
- 2015-12-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.