Advanced Pain Management

NPI #1003062282 in Racine, Wisconsin

Provider Information

NPI Number: 1003062282
Entity Type: Organization
Organization Name: Advanced Pain Management
Primary Specialty: Specialist
Enumeration Date: Aug 7, 2008
Last Updated: Aug 7, 2008

Practice Location

Address: 4216 OLD GREEN BAY RD
City: Racine
State: Wisconsin
ZIP Code: 53403-9486
Phone: (414) 325-3713

Authorized Official

Name: SHEILA RILEY
Title: BILLING SUPERVISOR
Phone: (414) 325-3713

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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