| NPI | 1336371020 |
|---|---|
| Doing Business As | PAIN CENTERS OF WISCONSIN - WAUKESHA |
| Entity Type | Organization |
| Authorized Contact | VISHAL LAL CEO 414-325-7246 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2010-05-11 |