institution
Spectrum Health Medical Clinic, Llc
General Practice Physician in Germantown, Wisconsin
NPI 1477981942

Spectrum Health Medical Clinic, Llc is a General Practice Physician based in Thiensville, WI. Spectrum Health Medical Clinic, Llc practices in Germantown, WI. The NPI Number for Spectrum Health Medical Clinic, Llc is 1477981942 and holds a License No. 53594 (Wisconsin).

The current practice location address for Spectrum Health Medical Clinic, Llc is W176N9830 Rivercrest Dr, Germantown, WI and can be reached out via phone at 414-324-0944 and via fax at 414-921-5600.

Location: W176N9830 Rivercrest Dr, Germantown, WI, 53092-0639
institution
Provider Profile Details
NPI Number
1477981942
Provider Name
Spectrum Health Medical Clinic, Llc
Credential
Provider Entity Type
Organization
Address
W176N9830 Rivercrest Dr, Germantown, WI, 53092-0639
Phone Number
414-324-0944
Fax Number
414-921-5600
Provider Enumeration Date
10/21/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
K100107570 01 WI MEDICARE PTAN
1902078801 01 NPI INDIVIDUAL
K400107593 01 MEDICARE PTAN INDIVIDUAL
institution
Provider Business Practice Location Address Details
Address
W176N9830 Rivercrest Dr
City
State
Zip
53022-4625
Phone Number
414-324-0944
Fax Number
414-921-5600
person
Provider Business Mailing Address Details
Address
W176N9830 Rivercrest Dr
City
State
Zip
53022-4625
Phone Number
414-324-0944
Fax Number
414-921-5600
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
53594 (Wisconsin)
Definition
Definition to come...
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