| (inactive) Mmc - Beaver Dam Women's Health Center | |
|
705 S University Ave Beaver Dam WI 53916-3053 | |
| (920) 885-6090 | |
| (920) 887-7973 |
| Full Name | (inactive) Mmc - Beaver Dam Women's Health Center |
|---|---|
| Speciality | Clinic/center |
| Location | 705 S University Ave, Beaver Dam, Wisconsin |
| Authorized Official Name and Position | Gordon T Edwards (CFO/COO) |
| Authorized Official Contact | 7153875823 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| (inactive) Mmc - Beaver Dam Women's Health Center 1000 N Oak Ave Attn: Provider Enrollment Services/wwp Marshfield WI 54449-5703 Ph: (715) 389-0660 | (inactive) Mmc - Beaver Dam Women's Health Center 705 S University Ave Beaver Dam WI 53916-3053 Ph: (920) 885-6090 |
| NPI Number | 1851607972 |
|---|---|
| Provider Enumeration Date | 08/26/2010 |
| Last Update Date | 03/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851607972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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Ayaz Samandani Md Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 Corporate Dr, Suite H, Beaver Dam, WI 53916 Phone: 920-887-7731 Fax: 920-887-3201 | |
Ayaz M. Samadani, Md, Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 Corporate Dr, Suite H, Beaver Dam, WI 53916 Phone: 920-887-7731 | |
(inactive) Marshfield Medical Center - Beaver Dam Specialty Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 705 S University Ave Ste 360, Beaver Dam, WI 53916 Phone: 920-356-6588 Fax: 920-356-6567 | |
(inactive) Marshfield Medical Center - Beaver Dam Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 Warren St Ste 132, Beaver Dam, WI 53916 Phone: 920-887-7181 Fax: 920-887-6833 | |
Victor W. Caceres, M.d.,s.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 919 S. University Avenue, Beaver Dam, WI 53916 Phone: 920-885-9238 Fax: 920-885-4405 |