NPI 1497056535

VA Medical Center

Organisation Military Hospital Union Grove, WI

Practice location

Address: 21425 Spring St, Union Grove, WI 53182-9707
Phone: (262) 878-7024
Mailing address: 5000 W National Ave, Milwaukee, WI 53295-0001

Authorised official

Name: David van Thiel
Title: Social Work Executive
Phone: (414) 384-2000

Registered specialties

Military Hospital Primary

Hospitals Taxonomy 286500000X Licence 126683-121 (WI)

Other Military Hospital providers in Wisconsin →

Registry record

NPI: 1497056535
Entity type: Organization
NPI issued: 5 Nov 2010
Record last updated: 5 Nov 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.