Pain Centers of Wisconsin - Kenosha, LLC
NPI #1407152945 in Pleasant Prairie, Wisconsin
Provider Information
- NPI Number
- 1407152945
- Entity Type
- Organization
- Organization Name
- Pain Centers of Wisconsin - Kenosha, LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Feb 1, 2011
- Last Updated
- Oct 24, 2016
Practice Location
- Address
- 9697 SAINT CATHERINES DR
- Address 2
- STE 102
- City
- Pleasant Prairie
- State
- Wisconsin
- ZIP Code
- 53158-2118
- Phone
- (414) 325-7246
Authorized Official
- Name
- VISHAL LAL
- Title
- CEO
- Phone
- (414) 325-7246
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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