institution
Beaver Dam Foot & Ankle Center, Inc.
Foot & Ankle Surgery Podiatrist in Beaver Dam, Wisconsin
NPI 1023204286

Beaver Dam Foot & Ankle Center, Inc. is a Foot & Ankle Surgery Podiatrist based in Beaver Dam, WI and is specialized in Foot & Ankle Surgery. Beaver Dam Foot & Ankle Center, Inc. practices in Beaver Dam, WI. The NPI Number for Beaver Dam Foot & Ankle Center, Inc. is 1023204286 and holds a License No. 865 (Wisconsin).

The current practice location address for Beaver Dam Foot & Ankle Center, Inc. is 301 S Roosevelt Dr, Beaver Dam, WI and can be reached out via phone at 920-885-6434 and via fax at 920-885-2640.

Location: 301 S Roosevelt Dr, Beaver Dam, WI, 53916-2439
institution
Provider Profile Details
NPI Number
1023204286
Provider Name
Beaver Dam Foot & Ankle Center, Inc.
Credential
Provider Entity Type
Organization
Address
301 S Roosevelt Dr, Beaver Dam, WI, 53916-2439
Phone Number
920-885-6434
Fax Number
920-885-2640
Provider Enumeration Date
09/21/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
565892 01 WI DEAN CARE
43266400 05 WI
institution
Provider Business Practice Location Address Details
Address
301 S Roosevelt Dr
City
State
Zip
53916-2439
Phone Number
920-885-6434
Fax Number
920-885-2640
person
Provider Business Mailing Address Details
Address
301 S Roosevelt Dr
City
State
Zip
53916-2439
Phone Number
920-885-6434
Fax Number
920-885-2640
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
865 (Wisconsin)
Definition
Definition to come...
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