| NPI | 1992212062 |
|---|---|
| Doing Business As | (INACTIVE) MARSHFIELD MEDICAL CENTER - BEAVER DAM WOUND CLINIC |
| Entity Type | Organization |
| Authorized Contact | GORDON T EDWARDS CFO/COO/AO 715-387-5823 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 851-800) |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2022-03-07 |