Beaver Dam Community Hospitals, INC
NPI #1023310034 in Beaver Dam, Wisconsin
Provider Information
- NPI Number
- 1023310034
- Entity Type
- Organization
- Organization Name
- Beaver Dam Community Hospitals, INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MARSHFIELD CLINIC HEALTH SYSTEM INC
- Primary Specialty
- Family Medicine - Sports Medicine
- Enumeration Date
- Nov 23, 2010
- Last Updated
- Mar 2, 2022
Practice Location
- Address
- 705 S UNIVERSITY AVE STE 150
- City
- Beaver Dam
- State
- Wisconsin
- ZIP Code
- 53916
- Phone
- (920) 219-4009
Authorized Official
- Name
- GORDON T EDWARDS
- Title
- CFO/COO/AO
- Phone
- (715) 387-5823
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine - Sports Medicine — Sports Medicine |
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