Pain Centers of Wisconsin - West Bend, LLC

NPI #1154663904 in West Bend, Wisconsin

Provider Information

NPI Number
1154663904
Entity Type
Organization
Organization Name
Pain Centers of Wisconsin - West Bend, LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Mar 20, 2013
Last Updated
Oct 24, 2016

Practice Location

Address
1000 GATEWAY CT
ZIP Code
53095-8541
Phone
(414) 325-7246

Authorized Official

Name
VISHAL LAL
Title
CEO
Phone
(414) 325-7246

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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