Great Lakes Pain Specialists, LLC

NPI #1649401258 in Franklin, Wisconsin

Provider Information

NPI Number
1649401258
Entity Type
Organization
Organization Name
Great Lakes Pain Specialists, LLC
Primary Specialty
Anesthesiology - Pain Medicine
Enumeration Date
Jul 30, 2009
Last Updated
Jul 30, 2009

Practice Location

Address
8153 S 27TH ST
ZIP Code
53132-7012
Phone
(414) 761-1802

Authorized Official

Name
DR. TIMOTHY STAACKE, M.D.
Title
PARTNER
Phone
(262) 787-4026

Specialties & Taxonomy Codes

Specialty
Anesthesiology - Pain MedicinePain Medicine

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