Pain Centers of Wisconsin - West Bend, LLC

NPI #1407419328 in West Bend, Wisconsin

Provider Information

NPI Number
1407419328
Entity Type
Organization
Organization Name
Pain Centers of Wisconsin - West Bend, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
APM WISCONSIN MSO, LLC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Apr 16, 2019
Last Updated
Apr 16, 2019

Practice Location

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

Authorized Official

Name
VISHAL LAL
Title
AUTHORIZED REPRESENTATIVE
Phone
(414) 325-7246

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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