OrganizationActive
Beaver Dam Community Hospitals Inc
NPI 1992212062 · Internal Medicine Physician · Beaver Dam, WI
Provider details
- NPI number
- 1992212062
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Marshfield Clinic Health System Inc
- Authorized official
- Gordon Edwards, Cfo/Coo/Ao
- License
- 851-800 (WI)
Practice location
707 S University Ave
Beaver Dam, WI 53916-3027
Phone: (920) 887-7181
Mailing address
1000 N Oak Ave
Marshfield, WI 54449-5703
Registry dates
- Enumerated
- 2018-01-10
- Last updated
- 2022-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.