BEAVER DAM ENT LLC

BEAVER DAM, WI
NPI1124277009
Entity TypeOrganization
Authorized ContactK SCOTT ABRAMS
CFO
920-887-4041
Organization Subpart ?No
Primary Taxonomy207Y00000X Otolaryngology
Enumeration Date2008-09-16
Last Update Date2009-01-23
Business Address
BEAVER DAM ENT LLC
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916-3027
Phone number: 920-887-6383
Mailing Address
BEAVER DAM ENT LLC
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916-3027
Phone number: 920-887-6383
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