Pain Centers of Wisconsin - Sauk Prairie, LLC
NPI #1922415728 in Prairie Du Sac, Wisconsin
Provider Information
- NPI Number
- 1922415728
- Entity Type
- Organization
- Organization Name
- Pain Centers of Wisconsin - Sauk Prairie, LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Jul 14, 2014
- Last Updated
- Oct 24, 2016
Practice Location
- Address
- 250 26TH ST
- Address 2
- SUITE 140
- City
- Prairie Du Sac
- State
- Wisconsin
- ZIP Code
- 53578-2204
- Phone
- (414) 325-7246
Authorized Official
- Name
- VISHAL LAL
- Title
- CEO
- Phone
- (414) 325-7246
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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