NPI 1124277009

Beaver Dam Ent LLC

Organisation Otolaryngology Physician Beaver Dam, WI

Practice location

Address: 707 S University Ave, Beaver Dam, WI 53916-3027
Phone: (920) 887-6383

Authorised official

Name: K Scott Abrams
Title: Cfo
Phone: (920) 887-4041

Registered specialties

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X

Other Otolaryngology providers in Wisconsin →

Registry record

NPI: 1124277009
Entity type: Organization
NPI issued: 16 Sep 2008
Record last updated: 23 Jan 2009

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.