| Paladinawestbend | |
|
705 Village Green Way Suite 101 West Bend WI 53090-2527 | |
| (262) 323-6849 | |
| (978) 620-2353 |
| Full Name | Paladinawestbend |
|---|---|
| Speciality | Family Medicine |
| Location | 705 Village Green Way, West Bend, Wisconsin |
| Authorized Official Name and Position | Jill Johnson Patton (DIRECTOR OF RISK MANAGEMENT) |
| Authorized Official Contact | 7049365546 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paladinawestbend 4651 Charlotte Park Dr Ste 300 Charlotte NC 28217-1916 Ph: () - | Paladinawestbend 705 Village Green Way Suite 101 West Bend WI 53090-2527 Ph: (262) 323-6849 |
| NPI Number | 1356897714 |
|---|---|
| Provider Enumeration Date | 08/26/2016 |
| Last Update Date | 08/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356897714 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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