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

Ihc Beaver Dam Emergency Physicians, LLC

Organization Emergency Medicine Physician · NPI 1912109836

Ihc Beaver Dam Emergency Physicians, LLC is an Emergency Medicine Physician in Beaver Dam, Wisconsin. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

707 S University Ave
Beaver Dam, WI 53916-3027
Phone: (954) 939-5000
Fax: (484) 342-5201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X

Record details

NPI number1912109836
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Kennedy — Authorized Official · (207) 807-9009
NPI enumeratedJune 4, 2007
Last updated in NPPESMay 22, 2026
Certification dateMay 22, 2026
Mailing addressPo Box 781129, Philadelphia, PA 19178-1129

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