Wauwatosa Pain Management , LLC

NPI #1649511304 in Wauwatosa, Wisconsin

Provider Information

NPI Number
1649511304
Entity Type
Organization
Organization Name
Wauwatosa Pain Management , LLC
Primary Specialty
Clinic/Center - Pain
Enumeration Date
Mar 6, 2013
Last Updated
Jul 2, 2013

Practice Location

Address
6005 W NORTH AVE
ZIP Code
53213-1527
Phone
(414) 530-2477

Authorized Official

Name
MR. JUSTIN HANSON
Title
OWNER
Phone
(414) 530-2477

Specialties & Taxonomy Codes

Specialty
Clinic/Center - PainPain

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