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Organization
BEAVER DAM FOOT & ANKLE CENTER, INC.
Active
Organization
BEAVER DAM FOOT & ANKLE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROLF HARALD HANSEN DPM (PODIATRIST)
(920) 885-6434
Entity
Organization
Contact information
Practice address
301 S ROOSEVELT DR, BEAVER DAM, WI 53916-2439
(920) 885-6434
(920) 885-2640
Mailing address
301 S ROOSEVELT DR, BEAVER DAM, WI 53916-2439
(920) 885-6434
(920) 885-2640
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
865
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43266400
—
WI
01
—
565892
DEAN CARE
WI
Enumeration date
09/21/2007
Last updated
11/08/2011
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