Overview
Name: BEAVER DAM COMMUNITY HOSPITALS INC
Specialty: Optician
Type of Practice: Organization
Provider/Org: MARSHFIELD CLINIC HEALTH SYSTEM INC
Medical School:
Graduation year from medical school:
Affiliation:
Specialties
Practice Type: Eye and Vision Services Providers
Classification: Technician/Technologist
Specialization: Optician.
Definition of Specialty: Definition to come…
License & NPI
License #(s): , , , ,
License State(s): , , , ,
Addresses
Practice Location: BEAVER DAM COMMUNITY HOSPITALS INC,MARSHFIELD MEDICAL CENTER – BEAVER DAM EYE CLINIC (DME),240 CORPORATE DR,BEAVER DAM,WI,539163115,US
Mailing Address: BEAVER DAM COMMUNITY HOSPITALS INC,MARSHFIELD MEDICAL CENTER – BEAVER DAM EYE CLINIC (DME),1000 N OAK AVE,ATTN: PROVIDER ENROLLMENT SERVICES/WWP,MARSHFIELD,WI,544495703,US
Contact #
Practice location phone #: 9208871151
Practice location fax #:
Mailing address Phone #: 7153890660
Mailing Address fax #:
Authorized official Name/Telephone #:GORDON, T, EDWARDS, CFO/COO/AO 7153875823
Misc
Date NPI was obtained: 03/09/2022
Last data data was updated: 03/09/2022
Insurances: