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

West Bend Clinic, Inc

Organization Cardiovascular Disease Physician · NPI 1558371104

West Bend Clinic, Inc is a Cardiovascular Disease Physician in West Bend, Wisconsin. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
8
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3200 Pleasant Valley Rd
West Bend, WI 53095-9274
Phone: (262) 334-3451
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Clinical Cardiac Electrophysiology Physician Taxonomy 207RC0001X
Pulmonary Disease Physician Taxonomy 207RP1001X
Maternal & Fetal Medicine Physician Taxonomy 207VM0101X
Pediatrics Physician Taxonomy 208000000X
Surgery Physician Taxonomy 208600000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1558371104
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gregory Blommel — Medical Director · (262) 334-3451
Other names West Bend Clinic South
NPI enumeratedAugust 8, 2006
Last updated in NPPESMay 23, 2012
Mailing address1700 W Paradise Dr, West Bend, WI 53095-9795

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