Pain Centers of Wisconsin - Fox Point, LLC

NPI #1679136584 in Fox Point, Wisconsin

Provider Information

NPI Number
1679136584
Entity Type
Organization
Organization Name
Pain Centers of Wisconsin - Fox Point, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
APM WISCONSIN MSO, LLC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Apr 16, 2019
Last Updated
Apr 16, 2019

Practice Location

Address
7950 N PORT WASHINGTON RD STE 300
ZIP Code
53217-3131
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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