| NPI Details | |
|---|---|
| NPI | 1093052243 |
| Enumeration Date | 01/08/2013 |
| Last Updated | 01/08/2013 |
| Entity Type | Healthcare Provider |
| Active | Over 4 years ago |
| Authorized Information | |
|---|---|
| Name | ANTHONY G ANTHONY |
| Position | AUTHORIZED OFFICIAL |
| Phone | (262) 763-8000 |
| Fax | |
| Practice Location | |
|---|---|
| 1050 MILWAUKEE AVE SUITE 102 BURLINGTON WI, 53105-1362, US |
|
| Phone | (262) 763-8000 |
| Fax | |
| Business Location | |
|---|---|
| 225 S EXECUTIVE DR BROOKFIELD WI, 53005-4257, US |
|
| Phone | (262) 787-4050 |
| Fax | (262) 782-6040 |
| Toxanomy | |
|---|---|
| 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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