Beaver Dam Community Hospitals, Inc
Beaver Dam Community Hospitals, Inc provides Sports Medicine (Family Medicine) Physician services in Beaver Dam, Wisconsin. Registered with an NPI since 2010.
- In the registry since
- 2010
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
705 S University Ave Ste 150Beaver Dam, WI 53916
Phone: (920) 219-4009
Fax: (920) 219-9709
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Sports Medicine (Family Medicine) Physician (primary) | Taxonomy 207QS0010X |
|---|
Record details
| NPI number | 1023310034 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Marshfield Clinic Health System Inc |
| Authorized official | Gordon Edwards — Cfo/Coo/Ao · (715) 387-5823 |
| Other names | Inactive) Mmc - Beaver Dam - Movement & Ortho, Rehab, Pt/Ot/St |
| NPI enumerated | November 23, 2010 |
| Last updated in NPPES | March 2, 2022 |
| Certification date | March 2, 2022 |
| Mailing address | 1000 N Oak Ave, Attn: Provider Enrollment Services/Wwp, Marshfield, WI 54449-5703 |
Other providers in Beaver Dam
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Dr. Rula Al-Baghdadi, MD
705 S University Ave Ste 400, Beaver Dam, WI 53916-3080 · (208) 887-5975