NPI | 1366833394 |
---|---|
Doing Business As | (INACTIVE) MARSHFIELD MEDICAL CENTER - BEAVER DAM SURGICAL SPECIALISTS |
Entity Type | Organization |
Authorized Contact | GORDON T EDWARDS CFO/COO/AO 715-387-5823 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: WI 851-800) |
Enumeration Date | 2015-02-12 |
Last Update Date | 2022-03-03 |