Advanced Pain Management Sc
NPI #1619360179 in Beaver Dam, Wisconsin
Provider Information
- NPI Number
- 1619360179
- Entity Type
- Organization
- Organization Name
- Advanced Pain Management Sc
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Mar 9, 2015
- Last Updated
- Mar 9, 2015
Practice Location
- Address
- 1701 N SPRING ST
- City
- Beaver Dam
- State
- Wisconsin
- ZIP Code
- 53916-1178
- 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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