| Beaver Dam Foot & Ankle Center, Inc. | |
|
301 S Roosevelt Dr, Beaver Dam, WI 53916-2439 | |
| (920) 885-6434 | |
| (920) 885-2640 |
| Full Name | Beaver Dam Foot & Ankle Center, Inc. |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 301 S Roosevelt Dr, Beaver Dam, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023204286 | NPI | - | NPPES |
| 565892 | Other | WI | DEAN CARE |
| 43266400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 865 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Beaver Dam Foot & Ankle Center, Inc. 301 S Roosevelt Dr, Beaver Dam, WI 53916-2439 Ph: (920) 885-6434 | Beaver Dam Foot & Ankle Center, Inc. 301 S Roosevelt Dr, Beaver Dam, WI 53916-2439 Ph: (920) 885-6434 |
John A Lindholm, OPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 301 S Roosevelt Dr, Beaver Dam, WI 53916 Phone: 920-885-6434 | |
Rolf H Hansen, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 130 Corporate Dr, Beaver Dam, WI 53916 Phone: 920-887-3102 Fax: 920-855-8790 |