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1437419561
PAIN CENTERS OF WISCONSIN - BEAVER DAM, LLC
BEAVER DAM, WI
NPI
1437419561
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Entity Type
Organization
Authorized Contact
VISHAL LAL
CEO
414-325-7246
Organization Subpart ?
No
Primary Taxonomy
261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date
2012-05-23
Last Update Date
2016-10-24
Business Address
PAIN CENTERS OF WISCONSIN - BEAVER DAM, LLC
1701 N SPRING ST
BEAVER DAM, WI 53916-1178
Phone number: 414-325-7246
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Mailing Address
PAIN CENTERS OF WISCONSIN - BEAVER DAM, LLC
4131 W LOOMIS RD STE 300
GREENFIELD, WI 53221-2057
Phone number: 414-325-7246
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