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Beaver Dam Community Hospitals Inc — NPI 1366833394, Beaver Dam, WI | NPI Central

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NPI 1366833394

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Beaver Dam Community Hospitals Inc

NPI 1366833394 · Surgery Physician · Beaver Dam, WI

Provider details

NPI number: 1366833394
Entity type: Organization
Primary specialty: Surgery PhysicianAllopathic & Osteopathic Physicians
Parent organization: Marshfield Clinic Health System Inc
Organization subpart: Yes
Authorized official: Gordon Edwards, Cfo/Coo/Ao(715) 387-5823
License: 851-800 (WI)

Specialties & taxonomies

Surgery PhysicianPrimary208600000XLicense 851-800 (WI)
Allopathic & Osteopathic Physicians

Practice location

705 S University Ave Ste 350

Beaver Dam, WI 53916

Phone: (920) 887-0379

Approximate (ZIP-level) locationGet directions

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Mailing address

1000 N Oak Ave

Marshfield, WI 54449-5703

Other names (DBA / former)

Doing business as: (inactive) Marshfield Medical Center - Beaver Dam Surgical Specialists

Registry dates

Enumerated: 2015-02-12
Last updated: 2022-03-03
Certified: 2022-03-03

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.