Pain Centers of Wisconsin - Fox Point, LLC

NPI #1972806495 in Fox Point, Wisconsin

Provider Information

NPI Number
1972806495
Entity Type
Organization
Organization Name
Pain Centers of Wisconsin - Fox Point, LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Dec 7, 2010
Last Updated
Oct 24, 2016

Practice Location

Address
7950 N PORT WASHINGTON RD
Address 2
STE 300
ZIP Code
53217-3131
Phone
(414) 325-7246

Authorized Official

Name
VISHAL LAL
Title
CEO
Phone
(414) 325-3737

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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