West Bend Clinic
West Bend Clinic is a Family Medicine Physician in Kewaskum, Wisconsin. Registered with an NPI since 2006.
- In the registry since
- 2006
- Specialties on file
- 5
Practice location Address checks out
1701 Fond Du Lac AveKewaskum, WI 53040-9129
Phone: (262) 626-4616
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|---|
| Internal Medicine Physician | Taxonomy 207R00000X |
| Pediatrics Physician | Taxonomy 208000000X |
| Body Imaging Physician | Taxonomy 2085B0100X |
| Durable Medical Equipment & Medical Supplies | Taxonomy 332B00000X |
Record details
| NPI number | 1518976919 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gregory Blommel — Medical Director · (262) 334-3451 |
| Other names | Kewaskum Clinic |
| NPI enumerated | August 5, 2006 |
| Last updated in NPPES | May 23, 2012 |
| Mailing address | 1700 W Paradise Dr, West Bend, WI 53095-9795 |
Other providers in Kewaskum
-
Mateusz Gwizdala, MD
1701 Fond Du Lac Ave, Kewaskum, WI 53040-9129 · (262) 626-4616
-
Anthony Alex Rutkowski, MD
1701 Fond Du Lac Ave, Kewaskum, WI 53040-9129 · (262) 626-4616