Beaver Dam Community Hospitals INC

NPI #1366833394 in Beaver Dam, Wisconsin

Provider Information

NPI Number: 1366833394
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: Surgery
Enumeration Date: Feb 12, 2015
Last Updated: Mar 3, 2022

Practice Location

Address: 705 S UNIVERSITY AVE STE 350
City: Beaver Dam
State: Wisconsin
ZIP Code: 53916
Phone: (920) 887-0379

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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