Beaver Dam Community Hospitals INC

NPI #1629374780 in Waupun, Wisconsin

Provider Information

NPI Number: 1629374780
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
Enumeration Date: Feb 7, 2011
Last Updated: Mar 3, 2022

Practice Location

Address: 180 GATEWAY DR
City: Waupun
State: Wisconsin
ZIP Code: 53963
Phone: (920) 345-1306

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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