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Teddy Thor

NPI 1831060060 · on the registry since 2025

Practice

Address
900 E Edgewood Dr
Appleton, WI 54913
Phone
(920) 651-5788

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-09-12

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