NPI | 1851607972 |
---|---|
Doing Business As | (INACTIVE) MMC - BEAVER DAM WOMEN'S HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | GORDON T EDWARDS CFO/COO 715-387-5823 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261Q00000X Clinic/Center |
Enumeration Date | 2010-08-26 |
Last Update Date | 2022-03-03 |