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Organization

WEST GROVE CLINIC, SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SELAHATTIN S. KURTER MD (EXECUTIVE DIRECTOR)
(414) 810-4844
Entity
Organization

Contact information

Practice address
10012 W. CAPITOL DR. #101, WAUWATOSA, WI 53222-1300
(414) 810-4844
(414) 810-4845
Mailing address
10012 W. CAPITOL DR #101, WAUWATOSA, WI 53222-1300
(414) 810-4844
(414) 810-4845

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
2318
WI
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
42229100
WI
Enumeration date
07/19/2007
Last updated
11/12/2024
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