| NPI | 1003889130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID STEIN Medical Director 414-257-4673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: WI 32152) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: WI 32152) |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2020-08-22 |