NPI Details | |
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NPI | 1093052243 |
Enumeration Date | 01/08/2013 |
Last Updated | 01/08/2013 |
Entity Type | Healthcare Provider |
Active | Over 5 years ago |
Authorized Information | |
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Name | ANTHONY G ANTHONY |
Position | AUTHORIZED OFFICIAL |
Phone | (262) 763-8000 |
Fax |
Practice Location | |
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1050 MILWAUKEE AVE SUITE 102 BURLINGTON WI, 53105-1362, US |
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Phone | (262) 763-8000 |
Fax |
Business Location | |
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225 S EXECUTIVE DR BROOKFIELD WI, 53005-4257, US |
|
Phone | (262) 787-4050 |
Fax | (262) 782-6040 |
Toxanomy | |
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Taxonomy Code | 207L00000X |
License State | |
License Number | |
Remove 1093052243 NPI Number |
According to our database, Wisconsin Pain Management, S.c. NPI is 1093052243, taxonomy code is 207L00000X Wisconsin Pain Management, S.c. physically located at 1050 Milwaukee Ave, Burlington WI, 53105-1362. NPI Number 1033115704 has the healthcare provider type.
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1093052243 NPI number is provided on an as is basis without warranty of any kind. 1093052243 is maintained by the National Plan & Provider Enumeration System. The contents of Wisconsin Pain Management, S.c. are for informational purposes only.
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