Ihc Beaver Dam Emergency Physicians, LLC
NPI #1912109836 in Beaver Dam, Wisconsin
Provider Information
- NPI Number
- 1912109836
- Entity Type
- Organization
- Organization Name
- Ihc Beaver Dam Emergency Physicians, LLC
- Primary Specialty
- Emergency Medicine
- Enumeration Date
- Jun 4, 2007
- Last Updated
- Sep 19, 2025
Practice Location
- Address
- 707 S UNIVERSITY AVE
- City
- Beaver Dam
- State
- Wisconsin
- ZIP Code
- 53916-3027
- Phone
- (954) 939-5000
Authorized Official
- Name
- CHRISTOPHER KENNEDY
- Title
- AUTHORIZED OFFICIAL
- Phone
- (207) 807-9009
Specialties & Taxonomy Codes
| Specialty |
|---|
| Emergency Medicine |
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