| NPI | 1538491998 |
|---|---|
| Doing Business As | (INACTIVE) MARSHFIELD MEDICAL CENTER - BEAVER DAM FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | GORDON T EDWARDS CFO/COO/AO 715-387-5823 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 851-800) |
| Enumeration Date | 2010-02-09 |
| Last Update Date | 2022-03-03 |