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West Grove Clinic, Llc
Clinic/Center in Wauwatosa, Wisconsin
NPI 1518167477

West Grove Clinic, Llc is a Clinic/Center based in Wauwatosa, WI. West Grove Clinic, Llc practices in Wauwatosa, WI. The NPI Number for West Grove Clinic, Llc is 1518167477 and holds a License No. 2318 (Wisconsin).

The current practice location address for West Grove Clinic, Llc is 10012 W. Capitol Dr. #101, Wauwatosa, WI and can be reached out via phone at 414-810-4844 and via fax at 414-810-4845. You can also correspond with West Grove Clinic, Llc through the mailing address at 10012 W. CAPITOL DR #101, WAUWATOSA, WI - 53222-1300 (mailing address contact number: 414-810-4844).

Location: 10012 W. Capitol Dr. #101, Wauwatosa, WI, 53222-1300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1518167477
Provider Name
West Grove Clinic, Llc
Credential
Provider Entity Type
Organization
Address
10012 W. Capitol Dr. #101, Wauwatosa, WI, 53222-1300
Phone Number
414-810-4844
Fax Number
414-810-4845
Provider Enumeration Date
07/19/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
42229100 05 WI
institution
Provider Business Practice Location Address Details
Address
10012 W. Capitol Dr. #101
City
Wauwatosa
State
Wisconsin
Zip
53222-1300
Phone Number
414-810-4844
Fax Number
414-810-4845
person
Provider Business Mailing Address Details
Address
10012 W. Capitol Dr. #101
City
Wauwatosa
State
Wisconsin
Zip
53222-1300
Phone Number
414-810-4844
Fax Number
414-810-4845
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
2318 (Wisconsin)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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