Physical Medicine Institute of Wisconsin

NPI #1295093235 in Oconomowoc, Wisconsin

Provider Information

NPI Number: 1295093235
Entity Type: Organization
Organization Name: Physical Medicine Institute of Wisconsin
Primary Specialty: Anesthesiology
Enumeration Date: Apr 27, 2012
Last Updated: Apr 27, 2012

Practice Location

Address: 1370 PADST FARMS CIRCLE
Address 2: SUITE 345
City: Oconomowoc
State: Wisconsin
ZIP Code: 53066-4879
Phone: (262) 200-2700

Authorized Official

Name: DR. SCOTT RISE
Title: PRESIDENT
Phone: (262) 200-2700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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