West Bend Clinic
Family Medicine
1701 Fond Du Lac Ave, Kewaskum
Wisconsin, 53040-9129
262-626-4616 West Bend Clinic is a Family Medicine in Kewaskum, Wisconsin. It is located at 1701 Fond Du Lac Ave, Kewaskum and it's customer support contact number is 262-626-4616. The authorized person of West Bend Clinic is Gregory G Blommel who is Medical Director of this DME and his contact number is 262-334-3451.
West Bend Clinic is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
DME Supplier Details:
West Bend Clinic type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | West Bend Clinic |
| Type: | Family Medicine |
| Location: | 1701 Fond Du Lac Ave, Kewaskum,
Wisconsin, 53040-9129 |
| Phone: | 262-626-4616 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Gregory G Blommel |
| Position: | Medical Director |
| Contact Number: | 262-334-3451 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1518976919 |
| NPI Enumeration Date: | 05 Aug, 2006 |
| NPI Last Update On: | 23 May, 2012 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for West Bend Clinic are as mentioned below.
| Specialization | License Number | State | Status | |
| Family Medicine | | | Primary | |
| Internal Medicine | | | Secondary | |
| Pediatrics | | | Secondary | |
| Body Imaging | | | Secondary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 21251400 | Medicaid | Wisconsin | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1700 W Paradise Dr,
West Bend, Wisconsin |
| Zip: | 53095-9795 |
| Phone Number: | 262-334-3451 |
Patients can reach West Bend Clinic at
1701 Fond Du Lac Ave, Kewaskum, Wisconsin or can
call on customer care at 262-626-4616.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.