# WEST BEND CLINIC, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Forward Ortho
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780821298
- **Authorized official:** JAMES N BROWNE (ADMINISTRATOR)
- **Authorized official phone:** (262) 334-3451

## Contact information

- **Practice address:** W180N8085 TOWN HALL RD, MENOMONEE FALLS, WI 53051-3518
- **Practice address phone:** (262) 257-5860
- **Practice address fax:** (262) 257-5858
- **Mailing address:** 1700 W PARADISE DR, WEST BEND, WI 53095-9795
- **Mailing address phone:** (262) 334-3451
- **Mailing address fax:** (262) 306-2964

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/21/2009
- **Last updated:** 09/25/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 21251400 | — | WI |