WEST GROVE CLINIC, LLC is a clinic center in Wauwatosa, WI. The provider is 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). WEST GROVE CLINIC, LLC NPI is 1518167477. The provider is registered as an organization entity type.
The provider's business location address is:
10012 W. CAPITOL DR. #101
WAUWATOSA, WI
ZIP 53222-300
Phone: (414) 810-4844
Fax: (414) 810-4845
The provider's authorized official is Selahattin S. Kurter .
The authorized official title is Executive Director and has the following contact phone number (414) 810-4844.
The CLIA number assigned to this NPI record is 52D2025014 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/19/2007 and was last updated on 12/29/2014.