Wisconsin Pain Management, S.c.

NPI #1487991824 in Burlington, Wisconsin

Provider Information

NPI Number
1487991824
Entity Type
Organization
Organization Name
Wisconsin Pain Management, S.c.
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Jan 4, 2013
Last Updated
Jan 4, 2013

Practice Location

Address
1050 MILWAUKEE AVE
Address 2
SUITE 102
ZIP Code
53105-1362
Phone
(262) 763-8000

Authorized Official

Name
DR. ANTHONY G CONRARDY, M.D.
Title
AUTHORIZED OFFICIAL
Phone
(262) 763-8000

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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