Advanced Pain Management Sc

NPI #1063805547 in Green Bay, Wisconsin

Provider Information

NPI Number: 1063805547
Entity Type: Organization
Organization Name: Advanced Pain Management Sc
Primary Specialty: Durable Medical Equipment & Medical Supplies
Enumeration Date: Mar 9, 2015
Last Updated: Mar 9, 2015

Practice Location

Address: 2595 DEVELOPMENT DR
Address 2: SUITE 150
City: Green Bay
State: Wisconsin
ZIP Code: 54311-4267
Phone: (414) 325-7246

Authorized Official

Name: VISHAL LAL
Title: AUTHORIZED REPRESENTATIVE
Phone: (414) 325-7246

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X	Primary

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