| NPI | 1023310034 |
|---|---|
| Doing Business As | (INACTIVE) MMC - BEAVER DAM - MOVEMENT & ORTHO, REHAB, PT/OT/ST |
| Entity Type | Organization |
| Authorized Contact | GORDON T EDWARDS CFO/COO/AO 715-387-5823 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2022-03-02 |