West Grove Clinic, Llc

NPI 1518167477 - Clinic/Center - 261Q00000X

NPI Details
NPI 1518167477
Enumeration Date 07/19/2007
Last Updated 12/29/2014
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Phone (414) 810-4844
Fax (414) 810-4845
Practice Location
10012 W. CAPITOL DR. #101
WAUWATOSA WI, 53222-1300, US
Phone (414) 810-4844
Fax (414) 810-4845
Business Location
10012 W. CAPITOL DR #101
WAUWATOSA WI, 53222-1300, US
Phone (414) 810-4844
Fax (414) 810-4845
Taxonomy Code 261Q00000X
License State Wisconsin
License Number 2318
Remove 1518167477 NPI Number

According to our database, West Grove Clinic, Llc NPI is 1518167477, taxonomy code is 261Q00000X and license number is 2318, license state is located at Wisconsin. West Grove Clinic, Llc physically located at 10012 W. Capitol Dr. #101, Wauwatosa WI, 53222-1300. NPI Number 1033115704 has the healthcare provider type.

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1518167477 NPI number is provided on an as is basis without warranty of any kind. 1518167477 is maintained by the National Plan & Provider Enumeration System. The contents of West Grove Clinic, Llc are for informational purposes only.