Pain Centers of Wisconsin - Wausau, LLC

NPI #1316206972 in Wausau, Wisconsin

Provider Information

NPI Number
1316206972
Entity Type
Organization
Organization Name
Pain Centers of Wisconsin - Wausau, LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
May 16, 2012
Last Updated
Nov 28, 2016

Practice Location

Address
400 WESTWOOD DR
Address 2
SUITE 200
City
Wausau
ZIP Code
54401-7801
Phone
(715) 261-0425

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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