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
- City
- Germantown
- State
- Wisconsin
- 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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