Thedacare Medical Center - Wild Rose, Inc
NPI 1710018817 · Non-Pharmacy Dispensing Site · Wild Rose, WI
Thedacare Medical Center - Wild Rose, Inc is a Non-Pharmacy Dispensing Site organization in Wild Rose, WI (NPI 1710018817).
Provider details
- NPI number
- 1710018817
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Organization subpart
- No
- Authorized official
- Jenifer Danzeisen, Clinic Manager/ Director of Nu(920) 622-5564
- License
- 47322-20 (WI)
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Waushara Family Physicians
Registry dates
- Enumerated
- 2007-03-08
- Last updated
- 2015-07-31
Frequently asked questions
- What is Thedacare Medical Center - Wild Rose, Inc's NPI number?
- Thedacare Medical Center - Wild Rose, Inc's National Provider Identifier (NPI) is 1710018817, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Thedacare Medical Center - Wild Rose, Inc?
- Thedacare Medical Center - Wild Rose, Inc is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Thedacare Medical Center - Wild Rose, Inc located?
- Thedacare Medical Center - Wild Rose, Inc's practice location on file with NPPES is 701 Grove Ave, Wild Rose, WI 54984-6901.
- What is Thedacare Medical Center - Wild Rose, Inc's phone number?
- The practice phone number listed in the NPPES registry for Thedacare Medical Center - Wild Rose, Inc is (920) 622-6013.
- Who is the authorized official for Thedacare Medical Center - Wild Rose, Inc?
- The authorized official listed on Thedacare Medical Center - Wild Rose, Inc's NPPES record is Jenifer Danzeisen, Clinic Manager/ Director of Nu. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Thedacare Medical Center - Wild Rose, Inc's NPI active?
- Yes — Thedacare Medical Center - Wild Rose, Inc's NPI (1710018817) is active in the NPPES registry as of the last update on 2015-07-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.