Beaver Dam Community Hospitals INC
NPI #1992212062 in Beaver Dam, Wisconsin
Provider Information
- NPI Number
- 1992212062
- 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
- Internal Medicine
- Enumeration Date
- Jan 10, 2018
- Last Updated
- Mar 7, 2022
Practice Location
- Address
- 707 S UNIVERSITY AVE
- City
- Beaver Dam
- State
- Wisconsin
- ZIP Code
- 53916-3027
- Phone
- (920) 887-7181
Authorized Official
- Name
- GORDON T EDWARDS
- Title
- CFO/COO/AO
- Phone
- (715) 387-5823
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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