NPI 1023204286

Beaver Dam Foot & Ankle Center, INC.

Organisation Foot & Ankle Surgery Podiatrist Beaver Dam, WI

Practice location

Address: 301 S Roosevelt Dr, Beaver Dam, WI 53916-2439
Phone: (920) 885-6434
Fax: (920) 885-2640

Authorised official

Name: Rolf Harald Hansen
Title: Podiatrist
Phone: (920) 885-6434

Registered specialties

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence 865 (WI)

Other Podiatrist providers in Wisconsin →

Registry record

NPI: 1023204286
Entity type: Organization
NPI issued: 21 Sep 2007
Record last updated: 8 Nov 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.