(inactive) Marshfield Medical Center - Beaver Dam Columbus Center | |
1580 W James St Columbus WI 53925-1001 | |
(920) 350-0235 | |
Not Available |
Full Name | (inactive) Marshfield Medical Center - Beaver Dam Columbus Center |
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Speciality | Family Medicine |
Location | 1580 W James St, Columbus, Wisconsin |
Authorized Official Name and Position | Gordon T Edwards (CFO/COO/AO) |
Authorized Official Contact | 7153875823 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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(inactive) Marshfield Medical Center - Beaver Dam Columbus Center 1000 N Oak Ave Attn: Provider Enrollment Services/wwp Marshfield WI 54449-5703 Ph: (715) 389-0660 | (inactive) Marshfield Medical Center - Beaver Dam Columbus Center 1580 W James St Columbus WI 53925-1001 Ph: (920) 350-0235 |
NPI Number | 1275833659 |
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Provider Enumeration Date | 11/01/2010 |
Last Update Date | 05/25/2022 |
Identifier | Type | State | Issuer |
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1275833659 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |