Organization · Type 2 NPI

Beaver Dam Community Hospitals, Inc

Sports Medicine (Family Medicine) Physician · Beaver Dam, WI

NPI number 1023310034 Active

Practice location

705 S University Ave Ste 150
Beaver Dam, WI 53916

Fax (920) 219-9709

Mailing address

1000 N Oak Ave, Attn: Provider Enrollment Services/wwp
Marshfield, WI 54449-5703

Specialties and licenses

TaxonomyCodeLicense
Sports Medicine (Family Medicine) Physician Primary 207QS0010XNone listed

Sports Medicine (Family Medicine) Physician: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomecha…

3 other providers at this address

About NPI 1023310034

Beaver Dam Community Hospitals, Inc's National Provider Identifier is 1023310034, issued on Nov 23, 2010. The primary taxonomy on file is Sports Medicine (Family Medicine) Physician (207QS0010X), and the practice location is in Beaver Dam, WI. The record was last updated on Mar 2, 2022.