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

Beaver Dam Community Hospitals Inc

Organization Family Medicine Physician · NPI 1538491998

Beaver Dam Community Hospitals Inc provides Family Medicine Physician services in Beaver Dam, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2010.

Licensed in
WI
In the registry since
2010
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

130 Warren St Ste 132
Beaver Dam, WI 53916
Phone: (920) 887-7181
Fax: (920) 887-6833
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 851-800 (WI)

Record details

NPI number1538491998
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 Family Practice
NPI enumeratedFebruary 9, 2010
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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