Beaver Dam Emergency Medicine S.c.

NPI #1780675116 in Beaver Dam, Wisconsin

Provider Information

NPI Number: 1780675116
Entity Type: Organization
Organization Name: Beaver Dam Emergency Medicine S.c.
Primary Specialty: Emergency Medicine
Enumeration Date: Nov 3, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 707 S UNIVERSITY AVE
City: Beaver Dam
State: Wisconsin
ZIP Code: 53916-3027
Phone: (920) 887-6606

Authorized Official

Name: MRS. MAUREEN M MEYER, BA
Title: BUSINESS MANAGER
Phone: (608) 833-2085

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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