WISCONSIN SPINE AND PAIN SC

WEST BEND, WI
NPI1154149367
Entity TypeOrganization
Authorized ContactMICHAEL JUNG
Md
414-455-1153
Organization Subpart ?No
Primary Taxonomy332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date2024-09-27
Last Update Date2024-09-27
Business Address
WISCONSIN SPINE AND PAIN SC
1000 GATEWAY COURT SUITE 100
WEST BEND, WI 53095-8541
Phone number: 920-204-6758
Mailing Address
WISCONSIN SPINE AND PAIN SC
DEPT. CH 17057
PALATINE, IL 60055-7057
Phone number: 920-204-6758
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