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Organization
WEST BEND CLINIC, INC.
Active
Organization
WEST BEND CLINIC, INC.
Active
Other names
Forward Ortho
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES N BROWNE (ADMINISTRATOR)
(262) 334-3451
Entity
Organization
Contact information
Practice address
W180N8085 TOWN HALL RD, MENOMONEE FALLS, WI 53051-3518
(262) 257-5860
(262) 257-5858
Mailing address
1700 W PARADISE DR, WEST BEND, WI 53095-9795
(262) 334-3451
(262) 306-2964
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21251400
—
WI
Enumeration date
01/21/2009
Last updated
09/25/2009
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