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Wisconsin Pain & Rehab, LLC

NPI #1508135708 in Wauwatosa, Wisconsin

Provider Information

NPI Number
1508135708
Entity Type
Organization
Organization Name
Wisconsin Pain & Rehab, LLC
Primary Specialty
Chiropractor
Enumeration Date
Dec 19, 2011
Last Updated
Dec 19, 2011

Practice Location

Address
2100 N MAYFAIR RD
Address 2
201
City
Wauwatosa
State
Wisconsin
ZIP Code
53226-2239
Phone
(305) 608-9248

Authorized Official

Name
DR. TODD JASON SUSSMAN, DC
Title
OWNER
Phone
(305) 608-9248

Specialties & Taxonomy Codes

Specialty
Chiropractor

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