Wisconsin Spine and Pain Sc

NPI #1154149367 in West Bend, Wisconsin

Provider Information

NPI Number
1154149367
Entity Type
Organization
Organization Name
Wisconsin Spine and Pain Sc
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Sep 27, 2024
Last Updated
Sep 27, 2024

Practice Location

Address
1000 GATEWAY COURT SUITE 100
ZIP Code
53095-8541
Phone
(920) 204-6758

Authorized Official

Name
MICHAEL JUNG
Title
MD
Phone
(414) 455-1153

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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