| NPI | 1558371104 |
|---|---|
| Other Name | WEST BEND CLINIC SOUTH |
| Entity Type | Organization |
| Authorized Contact | GREGORY G BLOMMEL Medical Director 262-334-3451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine | |
| 208000000X Pediatrics | |
| 208600000X Surgery | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2012-05-23 |