| NPI | 1366554487 |
|---|---|
| Former Legal Business Name | BEAVER DAM ORTHOPAEDIC CLINIC, LTD. |
| Entity Type | Organization |
| Authorized Contact | MARK L ADAMS Practice Manager 920-885-2663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2014-03-26 |