Community Pediatrics SC
Community Pediatrics SC is a Pediatrics Physician in Beaver Dam, Wisconsin. Registered with an NPI since 2007.
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
109 Warren St Ste 4Beaver Dam, WI 53916-3082
Phone: (920) 885-3305
Fax: (920) 885-5506
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatrics Physician (primary) | Taxonomy 208000000X |
|---|---|
| Pediatric Nurse Practitioner | Taxonomy 363LP0200X |
Record details
| NPI number | 1275749566 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Dorothy Larson — Account Manager · (920) 885-3305 |
| NPI enumerated | May 15, 2007 |
| Last updated in NPPES | April 8, 2010 |
| Mailing address | 109 Warren St Ste 4, Beaver Dam, WI 53916-3082 |
Other providers in Beaver Dam
-
Jay M Miesfeld, MD
109 Warren St Ste 4, Beaver Dam, WI 53916-3082 · (920) 885-3305
-
Dr. Jessica L Miesfeld, MD
109 Warren St Ste 4, Beaver Dam, WI 53916-3082 · (920) 885-3305
-
Dr. Elizabeth Michael Peterson, MD
109 Warren St Ste 4, Beaver Dam, WI 53916-3082 · (920) 885-3305