Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Beaver Dam Community Hospitals Inc

Organization Surgery Physician · NPI 1366833394

Beaver Dam Community Hospitals Inc provides Surgery Physician services in Beaver Dam, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2015.

Licensed in
WI
In the registry since
2015
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

705 S University Ave Ste 350
Beaver Dam, WI 53916
Phone: (920) 887-0379
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 851-800 (WI)

Record details

NPI number1366833394
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMarshfield Clinic Health System Inc
Authorized official Gordon Edwards — Cfo/Coo/Ao · (715) 387-5823
Other names Inactive) Marshfield Medical Center - Beaver Dam Surgical Specialists
NPI enumeratedFebruary 12, 2015
Last updated in NPPESMarch 3, 2022
Certification dateMarch 3, 2022
Mailing address1000 N Oak Ave, Attn: Provider Enrollment Services/Wwp, Marshfield, WI 54449-5703

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