Beaver Dam Community Hosptials INC

NPI #1275833659 in Columbus, Wisconsin

Provider Information

NPI Number
1275833659
Entity Type
Organization
Organization Name
Beaver Dam Community Hosptials INC
Subpart
Yes (part of a larger organization)
Parent Organization
MARSHFIELD CLINIC HEALTH SYSTEM INC
Primary Specialty
Family Medicine
Enumeration Date
Nov 1, 2010
Last Updated
May 25, 2022

Practice Location

Address
1580 W JAMES ST
ZIP Code
53925-1001
Phone
(920) 350-0235

Authorized Official

Name
GORDON T EDWARDS
Title
CFO/COO/AO
Phone
(715) 387-5823

Specialties & Taxonomy Codes

Specialty
Family Medicine

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