Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

West Bend Clinic

Organization Family Medicine Physician · NPI 1275542607

West Bend Clinic is a Family Medicine Physician in Jackson, Wisconsin. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2

Practice location Address checks out

W225N16711 Cedar Park Ct
Jackson, WI 53037-9222
Phone: (262) 677-1101
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1275542607
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gregory Blommel — Medical Director · (262) 334-3451
Other names Jackson Clinic
NPI enumeratedAugust 5, 2006
Last updated in NPPESMay 23, 2012
Mailing address1700 W Paradise Dr, West Bend, WI 53095-9795

Other providers in Jackson