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Search › Wisconsin › 104100000X

Shelly Theder

NPI 1366057242 · on the registry since 2020 · sole proprietor

Practice

Address
1541 Annex Rd
Jefferson, WI 53549
Phone
(920) 674-8700
Organisation at this address
Jefferson County
Jefferson County
Jefferson County
Jefferson County
Jefferson County
Inferred from a shared address, not stated in the registry.
Clinicians at this address
115

Registry record

Primary taxonomy
104100000X
104100000X
Sex
Female
Record last updated
2020-09-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin