Spectrum Health Medical Clinic, LLC

NPI #1477981942 in Germantown, Wisconsin

Provider Information

NPI Number
1477981942
Entity Type
Organization
Organization Name
Spectrum Health Medical Clinic, LLC
Primary Specialty
General Practice
Enumeration Date
Oct 21, 2013
Last Updated
Mar 13, 2014

Practice Location

Address
W176N9830 RIVERCREST DR
Address 2
SUITE 102
ZIP Code
53022-4625
Phone
(414) 324-0944

Authorized Official

Name
JOSEPH ALAN LOCKE, DO
Title
PRESIDENT/OWNER
Phone
(414) 324-0944

Specialties & Taxonomy Codes

Specialty
General Practice

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