Individual provider · Type 1 NPI
Edward Theodore Wasco, M.A.
Children's Hospital · Neenah, WI
NPI number
1649480443
Active
Practice location
130 2nd St
Neenah, WI 54956-2883
Fax (920) 969-7969
Mailing address
623 Haylett St
Neenah, WI 54956-4105
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Children's Hospital Primary | 282NC2000X | 1930-123 (WI) |
Children's Hospital: Definition to come...
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About NPI 1649480443
Edward Theodore Wasco, M.A.'s National Provider Identifier is 1649480443, issued on May 23, 2007. The primary taxonomy on file is Children's Hospital (282NC2000X), and the practice location is in Neenah, WI. The record was last updated on Jul 8, 2007.