Pain Centers of Wisconsin - Wauwatosa, LLC

NPI #1043579741 in Milwaukee, Wisconsin

Provider Information

NPI Number
1043579741
Entity Type
Organization
Organization Name
Pain Centers of Wisconsin - Wauwatosa, LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
May 15, 2012
Last Updated
Nov 28, 2016

Practice Location

Address
959 N MAYFAIR RD
ZIP Code
53226-3465
Phone
(414) 955-7246

Authorized Official

Name
VISHAL LAL
Title
CHIEF EXECUTIVE OFFICER
Phone
(414) 325-7246

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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