OrganizationActive
Beaver Dam Ent LLC
NPI 1124277009 · Otolaryngology Physician · Beaver Dam, WI
Provider details
- NPI number
- 1124277009
- Entity type
- Organization
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- K Abrams, Cfo(920) 887-4041
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
707 S University Ave
Beaver Dam, WI 53916-3027
Phone: (920) 887-6383
Approximate (ZIP-level) locationGet directions
Mailing address
707 S University Ave
Beaver Dam, WI 53916-3027
Registry dates
- Enumerated
- 2008-09-16
- Last updated
- 2009-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.