Community Pediatrics Sc
NPI #1275749566 in Beaver Dam, Wisconsin
Provider Information
- NPI Number
- 1275749566
- Entity Type
- Organization
- Organization Name
- Community Pediatrics Sc
- Primary Specialty
- Pediatrics
- Enumeration Date
- May 15, 2007
- Last Updated
- Apr 8, 2010
Practice Location
- Address
- 109 WARREN ST STE 4
- City
- Beaver Dam
- State
- Wisconsin
- ZIP Code
- 53916-3082
- Phone
- (920) 885-3305
Authorized Official
- Name
- MS. DOROTHY JEAN LARSON
- Title
- ACCOUNT MANAGER
- Phone
- (920) 885-3305
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Pediatrics — Pediatrics |
| Pediatrics |
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