NPI | 1376086611 |
---|---|
Entity Type | Organization |
Authorized Contact | HEIDI ANN RICHBURG Partner 414-800-5359 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
Enumeration Date | 2016-11-18 |
Last Update Date | 2024-07-08 |