| NPI | 1144654310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD JAMES GRECO President 414-712-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: CA A116326) |
| Enumeration Date | 2013-08-23 |
| Last Update Date | 2013-08-23 |