Organization · Type 2 NPI

Beaver Dam Community Hospitals Inc

Sleep Disorder Diagnostic Clinic/Center · Beaver Dam, WI

NPI number 1295305860 Active

Practice location

919 S University Ave
Beaver Dam, WI 53916-3001

Call (920) 887-4320 Map

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Sleep Disorder Diagnostic Clinic/Center Primary	261QS1200X	None listed

Sleep Disorder Diagnostic Clinic/Center: Definition to come...

Another provider at this address

Victor W. Caceres, MDFamily Medicine Physician Beaver Dam, WI NPI 1841243433

NPI record

NPI: 1295305860
Entity type: Organization (Type 2)
Issued: Jun 28, 2021
Last updated: Mar 2, 2022
Status: Active
Subpart: Yes of Marshfield Clinic Health System Inc

Other names

<unavail>
(inactive) Marshfield Medical Center - Beaver Dam Sleep Center · doing business as

Authorized official

Gordon T Edwards
CFO/coo/ao
(715) 387-5823

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About NPI 1295305860

Beaver Dam Community Hospitals Inc's National Provider Identifier is 1295305860, issued on Jun 28, 2021. The primary taxonomy on file is Sleep Disorder Diagnostic Clinic/Center (261QS1200X), and the practice location is in Beaver Dam, WI. The record was last updated on Mar 2, 2022.