(Inactive) MMC - Beaver Dam Women's Health Center – Obstetrics & Gynecology Physician, NPI 1851607972

(Inactive) MMC - Beaver Dam Women's Health Center is a healthcare provider. based in Beaver dam, Wisconsin. specializing in Obstetrics & Gynecology Physician. The organization holds a License No. 851-800 (WI). The NPI Number for (Inactive) MMC - Beaver Dam Women's Health Center is 1851607972

Main info

Organization
Name
(Inactive) MMC - Beaver Dam Women's Health Center
NPI
1851607972
Phone
(920) 887-7181
Address
707 S UNIVERSITY AVE
Authorized Official
GORDON T EDWARDS CFO/COO
Enumeration Date
26 August 2010
Last Update Date
3 March 2022
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness80
Years active:15State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for (Inactive) MMC - Beaver Dam Women's Health Center

  • 707 S UNIVERSITY AVE

    BEAVER DAM, WI 539163027

    Phone: (920) 887-7181

    Fax: (920) 887-3422

    Type: Mailing

  • 1000 N OAK AVE

    ATTN: PROVIDER ENROLLMENT SERVICES/WWP

    MARSHFIELD, WI 544495703

    Phone: (715) 389-0660

    Type: Mailing

  • 705 S UNIVERSITY AVE

    BEAVER DAM, WI 539163053

    Phone: (920) 885-6090

    Fax: (920) 887-7973

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 53916)

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Reviews

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Frequently asked questions

What NPI should I save for (Inactive) MMC - Beaver Dam Women's Health Center?
Save NPI 1851607972 if you need a stable reference for (Inactive) MMC - Beaver Dam Women's Health Center.
Does this profile mean (Inactive) MMC - Beaver Dam Women's Health Center is currently active?
Yes — (Inactive) MMC - Beaver Dam Women's Health Center appears active in the national provider directory.
What field does (Inactive) MMC - Beaver Dam Women's Health Center work in?
You can think of (Inactive) MMC - Beaver Dam Women's Health Center as practicing within Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Does (Inactive) MMC - Beaver Dam Women's Health Center practice in Wisconsin?
You will see Beaver Dam, Wisconsin on file for (Inactive) MMC - Beaver Dam Women's Health Center alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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