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

Beaver Dam Community Hospitals Inc

Organization Family Medicine Physician · NPI 1538491998

Beaver Dam Community Hospitals Inc is a Family Medicine Physician 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
Show map & directions

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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