Organization
BEAVER DAM WOMEN'S HEALTH, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH V OSTERMANN MD (PRESIDENT)
(920) 885-6090
Entity
Organization
Contact information
Practice address
705 S. UNIVERSITY AVENUE, SUITE 300, BEAVER DAM, WI 53916
(920) 885-6090
(920) 885-6092
Mailing address
705 S. UNIVERSITY AVENUE, SUITE 300, BEAVER DAM, WI 53916
(920) 885-6090
(920) 885-6092
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
36431
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32893800
—
WI
Enumeration date
06/14/2006
Last updated
01/02/2014
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