Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Beaver Dam Foot & Ankle Center, Inc

Organization Foot & Ankle Surgery Podiatrist · NPI 1023204286

Beaver Dam Foot & Ankle Center, Inc provides Foot & Ankle Surgery Podiatrist services in Beaver Dam, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007
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

301 S Roosevelt Dr
Beaver Dam, WI 53916-2439 Not confirmed with CMS for 14 years — call before visiting
Phone: (920) 885-6434
Fax: (920) 885-2640
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 865 (WI)

Record details

NPI number1023204286
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rolf Hansen — Podiatrist · (920) 885-6434
NPI enumeratedSeptember 21, 2007
Last updated in NPPESNovember 8, 2011
Mailing address301 S Roosevelt Dr, Beaver Dam, WI 53916-2439