<unavail> in Beaver Dam, WI

is a primary clinic (Clinic/center) in Beaver Dam, Wisconsin. The current practice location for is 705 S University Ave Ste 360, Beaver Dam, Wisconsin. For appointments, you can reach them via phone at (920) 356-6588. The mailing address for is 1000 N Oak Ave, Attn: Provider Enrollment Services/wwp, Marshfield, Wisconsin and phone number is (715) 389-0660.

is licensed to practice in * (Not Available) (license number ) and its NPI number is 1508184896. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (920) 356-6588.

Contact Information


	705 S University Ave Ste 360 Beaver Dam WI 53916-3080
	(920) 356-6588
	(920) 356-6567

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/center
Location	705 S University Ave Ste 360, Beaver Dam, 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 and Practice Location

Mailing Address	Practice Location Address
1000 N Oak Ave Attn: Provider Enrollment Services/wwp Marshfield WI 54449-5703 Ph: (715) 389-0660	705 S University Ave Ste 360 Beaver Dam WI 53916-3080 Ph: (920) 356-6588

NPI Details:

NPI Number	1508184896
Provider Enumeration Date	05/11/2010
Last Update Date	03/03/2022

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508184896	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261Q00000X	Clinic/center	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Beaver Dam, WI

Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 705 S University Ave Ste 150, Beaver Dam, WI 53916 Phone: 920-219-4009 Fax: 920-219-9709
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
Quad/med, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 Corporate Dr Ste A, Beaver Dam, WI 53916 Phone: 414-566-4000
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

- Primary Care in Beaver Dam, WI