Beaver Dam Women's Health, Ltd.

NPI 1346283595 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1346283595
Enumeration Date 06/14/2006
Last Updated 01/02/2014
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name KENNETH V KENNETH
Position PRESIDENT
Phone (920) 885-6090
Fax (920) 885-6092
Practice Location
705 S. UNIVERSITY AVENUE
SUITE 300
BEAVER DAM WI, 53916, US
Phone (920) 885-6090
Fax (920) 885-6092
Business Location
705 S. UNIVERSITY AVENUE
SUITE 300
BEAVER DAM WI, 53916, US
Phone (920) 885-6090
Fax (920) 885-6092
Toxanomy
Taxonomy Code 207V00000X
License State Wisconsin
License Number 36431
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According to our database, Beaver Dam Women's Health, Ltd. NPI is 1346283595, taxonomy code is 207V00000X and license number is 36431, license state is located at Wisconsin. Beaver Dam Women's Health, Ltd. physically located at 705 S. University Avenue, Beaver Dam WI, 53916. NPI Number 1033115704 has the healthcare provider type.

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1346283595 NPI number is provided on an as is basis without warranty of any kind. 1346283595 is maintained by the National Plan & Provider Enumeration System. The contents of Beaver Dam Women's Health, Ltd. are for informational purposes only.