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BEAVER DAM WOMEN'S HEALTH LTD. NPI 1346283595


NPI Information

NPI: 1346283595
Provider Name: BEAVER DAM WOMEN'S HEALTH, LTD.
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
705 S. UNIVERSITY AVENUE
SUITE 300
BEAVER DAM, WI
ZIP 53916
Phone: (920) 885-6090
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BEAVER DAM WOMEN'S HEALTH, LTD. is an obstetrics gynecology in Beaver Dam, WI. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. BEAVER DAM WOMEN'S HEALTH, LTD. NPI is 1346283595. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

705 S. UNIVERSITY AVENUE
SUITE 300
BEAVER DAM, WI
ZIP 53916
Phone: (920) 885-6090
Fax: (920) 885-6092

The provider's authorized official is Kenneth V Ostermann .
The authorized official title is President and has the following contact phone number (920) 885-6090.

The enumeration date for this NPI number is 6/14/2006 and was last updated on 1/2/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & Gynecology36431WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
132893800MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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