| NPI | 1033644083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE SCHNEIDER CEO 608-217-9776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 174400000X Specialist (Licence: TN 45893) |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 2084P2900X Psychiatry & Neurology, Pain Medicine | |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2018-05-25 |